Angiodysplasia in the stomach.
An 87-year old woman admitted with melena. She was known to be
chronically anemic, secondary to gastrointestinal blood loss from
angiodysplasia. On this occasion her hemoglobin had fallen to 70
g/L. An endoscopy showed numerous angiodysplastic lesions around the
cardia and in the antrum.
Comment: angiodysplastic lesions are relatively common in elderly
patients and most are probably incidental findings. Those that are
associated with recurrent bleeding are typically associated in the right
colon and caecum, but may occur anywhere in the digestive tract.
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