scholarly journals Angiodysplasia of left colon extending to anal verge landed patient into APR: a rare finding

2018 ◽  
Vol 5 (12) ◽  
pp. 4063
Author(s):  
Amit Jain ◽  
Divya Jain
Keyword(s):  
External Surface ◽  
Anal Verge ◽  
Left Colon ◽  
Small Blood Vessel ◽  
Age Related ◽  
Bleeding Per Rectum ◽  
Vascular Channels ◽  
Lower Gastrointestinal Tract Bleeding ◽  
Gastrointestinal Tract Bleeding ◽  
Intermittent Bleeding

Angiodysplasias is a kind of vascular malformation preferably involves the veins. Angiodysplasia of colon is the second most common cause of lower gastrointestinal bleeding after diverticulosis. It usually involves caecum and ascending colon. Patient may either present with complaints of fresh bleeding per rectum or with melena. It usually occurs in elderly because of age related degeneration of small blood vessel walls. The case presented here involves a male patient of 25-year age with complains of intermittent bleeding per rectum and generalized weakness from one month. After examination it was found to have vascular ectasia involving mid transverse colon, left colon and the rectum coming down to anal verge which culminated into abdominoperineal resection. Biopsy of resected segment came to be angiodysplasia with external surface of specimen showing dilation of multiple vascular channels in entire length up to anal verge. This case report shows that though angiodysplasia is more common in old age but while exploring a young patient with lower gastrointestinal tract bleeding, and congestive changes are found in left colon possibility of angiodysplasia should also be kept in mind.

scholarly journals Endoscopic and angiographic management of lower gastrointestinal bleeding: Review of the published literature

2017 ◽  
Vol 6 (3) ◽  
pp. 337-342 ◽  
Author(s):  
David J Werner ◽  
Hendrik Manner ◽  
Marc Nguyen-Tat ◽  
Roman Kloeckner ◽  
Ralf Kiesslich ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Standard Procedure ◽  
Lower Gastrointestinal Bleeding ◽  
Endoscopic Procedures ◽  
Number Of Patients ◽  
Rising Incidence ◽  
The Subject ◽  
Lower Gastrointestinal Tract Bleeding ◽  
Gastrointestinal Tract Bleeding ◽  
Patients Experience

Lower gastrointestinal bleeding is common and occurs often in elderly patients. In rare cases it is associated with hemorrhagic shock. A large number of such bleedings, which are often caused by colon diverticula, subside spontaneously. Alternatively they can be treated by endoscopic procedures successfully. Given the aging population of our society, the rising incidence of lower gastrointestinal tract bleeding and new anticoagulant therapies, some of the bleedings tend to be severe. Colonoscopy is the established standard procedure for the diagnosis and treatment of lower gastrointestinal bleeding. However, a small number of patients experience re-bleeding or shock; their bleeding does not resolve spontaneously and cannot be treated successfully by endoscopic procedures. In such patients, interventional radiology is very useful for the detection of bleeding and the achievement of hemostasis. Against this background we performed a literature search using PubMed to identify all relevant studies focused on the endoscopic and radiological management of lower gastrointestinal bleeding and present recent conclusions on the subject.

scholarly journals Clinical presentations of colorectal cancer at initial presentation to hospital and its site specific correlation

2018 ◽  
Vol 6 (11) ◽  
pp. 3652
Author(s):  
Rauf Ahmad Bhat ◽  
Shams Ul Bari
Keyword(s):  
Colorectal Cancer ◽  
Hepatic Flexure ◽  
Left Colon ◽  
Age Group ◽  
Right Colon ◽  
Site Specific ◽  
Clinical Presentations ◽  
Number Of Patients ◽  
Bleeding Per Rectum ◽  
Sixth Decade

Background: Colorectal cancer is one of the leading cause of death all over the world. It progresses slowly and may be asymptomatic for as many as 5 years. Aim of this study was to find the incidence and the initial clinical presentations of patients with colorectal cancer and its site specific correlationMethods: This was a prospective hospital-based study conducted over a period of two years from August 2015 to September 2017 in the postgraduate department of surgery, Government medical college, Srinagar. Total of fifty three patients in the age group of 10 years to 80 years were included in the study. Colorectal tumors were divided into right colon growths (caecum, ascending colon and hepatic flexure), left colon growths (splenic flexure, descending colon and sigmoid colon) and rectal growths. Data was collected from their hospital records and analysed using SPSS computer program.Results: In present study incidence of colorectal cancer was 0.2 per 100,000 people. Thirty percent of our patients were found to be in the sixth decade of their life with male preponderance in almost every age group. Mean age of presentation being 46.44 years (males= 48.5years, females= 43.76years). Out of 53 patients, rectal growths constituted 36%, left colonic growths 36% followed by 28% cases of right colonic growths. More than one symptom was present in several patients. Maximum number of patients (43%) presented with anemia (microcytic hypochromic) with Hb of <9gm% followed by constipation 38% and bleeding per rectum 28%. Pain abdomen was present in 23% of patients. Loss of weight and diarrhoea was equally seen in 19% of patients. Diarrhoea was seen in 6 males and 4 females and was statistically significant (p<0.05).Conclusions: Colorectal cancer was found to affect the Kashmiri patients at younger age (38% were 40 years or less) with peak incidence at sixth decade. Males were affected more than females. Anaemia, constipation and bleeding per rectum were the most common predominant clinical features in right colon, left colon and rectal growths respectively.

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