Richmond R Gomes*

Department of Internal Medicine, Ad-Din Women’s Medical College Hospital, Bangladesh

*Corresponding Author: Richmond R Gomes, Department of Internal Medicine, Ad-Din Women’s Medical College Hospital, Bangladesh.

Received: February 10, 2025; Published: February 24, 2025

Abstract

In 1974 was the first time that to describe abnormal distributions of the vessels of the submucosa of the colon, used the term angiodysplasia (AD). Angiodysplasia or vascular ectasia of the colon is a rare but important cause of recurrent lower gastro-intestinal bleeding and should be kept in mind as a diagnostic possibility. The aim of this paper is to report a case of simultaneous angiodysplasia of the colon and rectum. Here we present a 52 years old diabetic male who was previously diagnosed as a case of carcinoma prostate with completed 37 cycles of radiotherapy 2 months back. He presented with recurrent large volume hematochezia that necessitates repeated blood transfusion. Later he was started treatment as radiation proctitis with no improvement. Ultimately, he was diagnosed as sigmoid colonic and rectal angiodysplasia on third occasion of bleeding and given argon laser photocoagulation (APC) therapy. The patient recovered well without further symptom recurrence 5 months post discharge. We review the literature on colonic angiodysplasias and discuss the diagnostic challenges in obscure gastrointestinal bleeding.

Keywords: Angiodysplasia; Vascular Ectasia; Hematochezia; Radiation Proctitis; Argon Laser Photocoagulation

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Citation

Citation: Richmond R Gomes. “A Rare cause of Rectal and Colonic angiodysplasia: Culprit of Obscure Gastrointestinal Bleeding Masquerading as Radiation Proctitis".Acta Scientific Gastrointestinal Disorders 8.3 (2025): 25-29.

Copyright

Copyright: © 2025 Richmond R Gomes. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.