[Diffuse gastrointestinal angiodysplasia associated with cryptogenic hepatic cirrhosis and coagulopathy simulating von Willebrand disease]. / Angiodisplasia gastrointestinal difusa asociada a cirrosis hepática criptogenética y coagulopatía que simulaba una enfermedad de von Willebrand.
Rev Esp Enferm Dig
; 88(9): 631-3, 1996 Sep.
Article
em Es
| MEDLINE
| ID: mdl-8962779
ABSTRACT
Angiodysplasic lesions can be located anywhere in the gastrointestinal tract, but most of them are found in the cecum and right colon. Angiodysplasias are very infrequent in the stomach and small bowel. These lesions can be associated with several clinical conditions, such as certain coagulation disorders and liver diseases. We report the case of a diffuse gastrointestinal angiodysplasia in a female patient with idiopathic cirrhosis of the liver who developed a coagulopathy which mimicked von Willebrand disease. After repeated blood transfusions, which were not able to control the anemia of the patient, an antrectomy was performed because most lesions were located in the antrum. The procedure did not achieve a suitable control of the bleeding. Finally, a hormonal therapy combining estrogens and progestagens, was able to control, at least partially, the patient's chronic gastrointestinal bleeding.
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Base de dados:
MEDLINE
Assunto principal:
Transtornos da Coagulação Sanguínea
/
Angiodisplasia
/
Gastroenteropatias
/
Cirrose Hepática
Tipo de estudo:
Diagnostic_studies
/
Etiology_studies
/
Risk_factors_studies
Limite:
Aged
/
Female
/
Humans
Idioma:
Es
Ano de publicação:
1996
Tipo de documento:
Article