Skip to main content

Advertisement

SpringerLink
Log in

Diffuse colorectal angiodysplasia misdiagnosed preoperatively as ulcerative colitis in a child: Report of a case

  • Case Reports
  • Published:
Surgery Today Aims and scope Submit manuscript

Abstract

Angiodysplasia is primarily a disease of the elderly, and it is rarely encountered in the pediatric population. We report a case of diffuse colorectal angiodysplasia, diagnosed postoperatively in a 13-year-old boy who underwent hand-assisted laparoscopic total proctocolectomy and ileal pouch anal anastomosis (IPAA) for assumed corticosteroid-resistant ulcerative colitis. The fi ndings of preoperative repeated colonoscopies and biopsies had been consistent with active colitis. Distinguishing ulcerative colitis from angiodysplasia is not usually difficult in patients with rectal bleeding. To our knowledge, this is the fi rst case report of such a challenging diagnostic problem.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. de la Torre Mondragon L, Vargas Gomez MA, Mora Tiscarreno MA, Ramirez Mayans J. Angiodysplasia of the colon in children. J Pediatr Surg. 1995;30:72–75.

    Article  PubMed  Google Scholar 

  2. Lu C, Fukuya T, Landas S, Ellison K. Angiodysplasia of the colon mimicking adenocarcinoma. Am J Roentgenol 1993;160:898.

    CAS  Google Scholar 

  3. Kakushima N, Fujishiro M, Yahagi N, Oka M, Kobayashi K, Hashimoto T, et al. An unusual case of polypoid angiodysplasia. Endoscopy 2004;36:379.

    Article  PubMed  CAS  Google Scholar 

  4. Gravier L. Ileal stenosis due to arteriovenous malformation in a newborn infant. J Pediatr Surg 1982;17:78–79.

    Article  Google Scholar 

  5. Munn J, Hussain AN, Castelli MJ, Diamond SM, Black PR. Ileal perforation due to arteriovenous malformation in a premature infant. J Pediatr Surg 1990;25:701–703.

    Article  PubMed  CAS  Google Scholar 

  6. Martinez-Caballero A, Martinez MN, Serrano J, Verdu J, Coronas M, Caballero O. Ulcerative colitis and colonic angiodysplasia associated with a lower digestive hemorrhage. Their diagnosis by 99-technetium-labelled red blood cells. Rev Esp Enferm Dig 1997; 89:51–54.

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Gastrointestinal Surgery, Turkiye Yuksek Ihtisas Training and Research Hospital, Demirlibahce Mah., Doganbahcesi Sok. 6/3, 06340, Mamak, Ankara, Turkey

    Ilter Ozer, E. Birol Bostanci, Yusuf B. Ozogul & Musa Akoglu

  2. Department of Gastroenterology, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey

    Aysel Ulker

  3. Department of Pathology, Turkiye Yuksek Ihtisas Training and Research Hospital, Ankara, Turkey

    Tulay Temucin

Authors
  1. Ilter Ozer
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. E. Birol Bostanci
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Yusuf B. Ozogul
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Aysel Ulker
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Tulay Temucin
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Musa Akoglu
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Ozer, I., Birol Bostanci, E., Ozogul, Y.B. et al. Diffuse colorectal angiodysplasia misdiagnosed preoperatively as ulcerative colitis in a child: Report of a case. Surg Today 38, 731–733 (2008). https://doi.org/10.1007/s00595-007-3698-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00595-007-3698-y

Key words

Search

Navigation