An unusual case of colonic angiodysplasia. Issue 3 (March 1995)

• Record Type: Journal Article
• Authors: Trendell-Smith, N J; Warren, B F; Sheffield, E A; Durdey, P
• Is Part Of: Journal of clinical pathology. Volume 48:Issue 3(1995)
• Page Start: 272
• Page End: 275
• Publication Date: 1995-03
• Subjects: Pathology -- Periodicals; Pathology, Molecular -- Periodicals; 616.0705
• DOI: 10.1136/jcp.48.3.272
• Languages: English
• ISSNs: 0021-9746

Abstract

Abstract : An unusual case of a colonic vascular anomaly resembling angiodysplasia associated with right sided diverticular disease is presented. The patient, a 74 year old man, presented with a four day history of rectal bleeding and subsequently underwent hemicolectomy. The resected specimen was flushed out with heparin-saline solution and injected with a barium-gelatine mixture. Preoperative barium enema revealed right sided diverticula, whereas post-resection angioradiography revealed the "coral reef" vascular anomaly consistent with angiodysplasia. Histology confirmed the presence of both diverticular disease and angiodysplasia. This case report highlights the importance of considering a vascular anomaly in patients presenting with rectal bleeding despite the presence of another radiologically demonstrable anatomical lesion.