Abstract

VASQUEZ, Jorge et al. Bleeding in digestive tract caused by jejunal angiodysplasia: complementary value of capsule endoscopy and double-balloon enteroscopy. Rev. gastroenterol. Perú [online]. 2009, vol.29, n.2, pp.174-178. ISSN 1022-5129.

We report the case of a 35 years male patient, with a history of six months of pallor and dyspnea associated with severe iron deficiency anemia and positives fecal occult blood tests. Endoscopy of the lower and upper gastrointestinal tract, and a small bowel follow through were performed, but did not reveal the origin of the bledding. Later, a capsule endoscopy study were performed and detected an elevated area - not well defined - with active bleeding in the jejunal portion of the small bowel, for that reason we decided to complement the study with a double balloon enteroscopy, that allowed to see more clearly the jejunal lesion: an elevated and ulcerated lesion; the area was marked with Indian ink to guide the surgeon. In the surgical intervention a resection of the involved jejunal segment was performed; the study of pathological anatomy established the diagnosis of jejunal angiodysplasia. We present this case of obscure gastrointestinal bleeding to emphasize the diagnostic utility of the capsule endoscopy and the double balloon enteroscopy.

Keywords : gastrointestinal bleeding; jejunal angiodysplasia; capsule endoscopy; double balloon enteroscopy.

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