Angulo-Molina D, Salceda-Otero JC, Lozoya-González D, Farca-Belsaguy A

Language: Spanish
References: 9
Page: 65-68
PDF size: 317.74 Kb.

ABSTRACT

Obscure gastrointestinal bleeding, defined as bleeding without an obvious etiology after endoscopic evaluation, could be categorized into obscure occult bleeding (that is detected by the presence of iron deficiency anemia or repeatedly positive fecal occult blood tests) and obscure overt bleeding (based on the presence of melena or hematochezia). This bleeding frequently occurs between the ligament of Treitz and the ileocecal valve, and it continues to be a diagnostic challenge. Newer endoscopic evaluation techniques for the small bowel are available which help us to explore and perform therapeutic techniques; these include video capsule endoscopy and deep enteroscopy. Generally these two techniques are complementary and should be performed in patients with obscure gastrointestinal bleeding after an initial negative endoscopic evaluation including colonoscopy and upper endoscopy. We report a case of a patient with chronic anemia who was diagnosed and treated of an ileal hemangioma with single-balloon enteroscopy. Hemangiomas are benign vascular tumors that can be located anywhere in the gastrointestinal tract, more commonly in the small bowel, and whose main clinical manifestation is bleeding.

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