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Digestive Diseases and Sciences

, Volume 52, Issue 10, pp 2703–2706 | Cite as

Ischemic Colitis Associated with Segmental Arteriovenous Malformation Mimicking Inflammatory Bowel Disease in a Familial Adenomatous Polyposis Patient

  • Jae One Jung
  • Yong Woo Chung
  • Jong Pyo Kim
  • Woon Geon Shin
  • Joon Ho Moon
  • Kyoung Oh Kim
  • Cheol Hee Park
  • Taeho Hahn
  • Kyo-Sang Yoo
  • Sang Hoon Park
  • Jong Hyeok Kim
  • Choong Kee Park
Case Report

Introduction

Vascular lesions of the colon are being recognized with increasing frequency as a cause of lower intestinal hemorrhage in the elderly [1, 2, 3]. Colonic arteriovenous malformation (AVM) is also known as vascular ectasia or angiodysplasia, and it is thought to be caused by degenerative changes [1, 4]. Unlike small vascular abnormalities such as vascular ectasia or angiodysplasia, AVMs have several distinguishing characteristics based on the analyses of various reported cases [4, 5, 6]: they are not restricted to the elderly, are usually solitary, can be identified endoscopically, are not confined to the right colon, and are larger.

We report a case of segmental AVM in a patient with familial adenomatous polyposis (FAP) that presented as a chronic limited colitis mimicking inflammatory bowel disease. While initial biopsies were suggestive of an ischemic etiology, the final diagnosis was made on surgical resection.

Case report

A 33-year-old man had lower abdominal pain and...

Keywords

Arteriovenous malformation Colon Inflammatory bowel disease 

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Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Jae One Jung
    • 1
  • Yong Woo Chung
    • 1
    • 2
  • Jong Pyo Kim
    • 1
  • Woon Geon Shin
    • 1
  • Joon Ho Moon
    • 1
  • Kyoung Oh Kim
    • 1
  • Cheol Hee Park
    • 1
  • Taeho Hahn
    • 1
  • Kyo-Sang Yoo
    • 1
  • Sang Hoon Park
    • 1
  • Jong Hyeok Kim
    • 1
  • Choong Kee Park
    • 1
  1. 1.Department of GastroenterologyHallym University College of MedicineAnyangKorea
  2. 2.Hallym University Sacred Heart HospitalAnyangKorea

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