Rare case of colonic angiodysplasia with massive bleeding

Abstract

Colonic diverticular bleeding is the most common cause of overt, acute lower gastrointestinal bleeding in adults. Patients with diverticular bleeding usually experience large volume hematochezia and require hospitalization for management. Colonoscopy is the test of choice for most patients, although patients with massive bleeding may require computed tomography (CT) angiography followed by angiography. Surgical intervention for diverticular bleeding is reserved for patients who have failed all other modalities. Colonic diverticular bleeding is the most common cause of hematochezia (maroon or bright red blood) in hospitalized patients, although the proportion of cases attributed to diverticular bleeding varies across series. For example, 13 percent of cases were attributed to diverticular bleeding in a multicenter study in the United Kingdom versus 63 percent in a multicenter study in Japan. We present the case of 60 yrs old male patient who presented with the complaint of pain in abdomen and blood clots per rectum (Approx. 500 - 600 ml)