30Apr 2017

LARGE JEJUNAL AV MALFORMATION WITH INTESTINAL ASCARIASIS PRESENTING AS OBSCURE GASTROINTESTINAL BLEED.

  • SKIMS Srinagar Kashmir,India.
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Arterio venous malformations of small bowel constitute one of major causes of mid gastrointestinal bleed. We report a rare case of large Jejunal type 2 arterio venous malformations with intestinal ascariasis in a 59-year old male presenting as overt obscure gastro intestinal bleed with hemodynamic instability. Single balloon enteroscopy revealed jejunal ascariasis and a large serpignious vascular malformation involving whole of jejunum with a proximal bleeding spot, treated with argon plasma coagulation. In view of recurrent bleeding patient underwent exploratory laprotomy which revealed large arterio venous malformations involving whole jejunum along with acaroids. On enterotomy this vessel was opening into the mucosa with evidence of hemorrhage. Patient underwent resection anastomosis of the abnormal segment of jejunum and de wormed. Postoperative period was uneventful. Small bowel enteroscopy can be used as first line investigation in the diagnosis and management of suspected small bowel bleed. Type 2 large AV malformations invariable need surgical resection.

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[Jaswinder Singh Sodhi, Zaffer Ahmed Kawoosa, Sheikh Shaista, Mushqoor Ahmed, Mubasher Shah, Suresh Gorka and Gulam Nabi Yattoo. (2017); LARGE JEJUNAL AV MALFORMATION WITH INTESTINAL ASCARIASIS PRESENTING AS OBSCURE GASTROINTESTINAL BLEED. Int. J. of Adv. Res. 5 (Apr). 2093-2097] (ISSN 2320-5407). www.journalijar.com

Jaswinder Singh Sodhi
SKIMS Srinagar Kashmir, India,190011

DOI:

Article DOI: 10.21474/IJAR01/4056      
DOI URL: https://dx.doi.org/10.21474/IJAR01/4056

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