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2014 | 10 | 1 |
Tytuł artykułu

Bowel Angiodysplasia and Myocardial Infarction secondary to an ischaemic imbalance: a case report

Treść / Zawartość
Warianty tytułu
Języki publikacji
EN
Abstrakty
EN
Angiodysplasia, defined as a vascular ectasia or arteriovenous malformation, is the most frequent cause of occult bleeding in patients older than 60 years and a significant association with several cardiac condition is described. Patients with anemia and negative findings on upper endoscopy and colonoscopy should be referred for further investigation of the small bowel. The investigation of choice, when available, is wireless capsule endoscopy. Several therapeutic options are available in this cases, as we reviewed in this report. We report a case of 78-year old man admitted to our Intensive Coronary Unit for dyspnea and chest pain. A diagnosis of non-ST-segment elevation acute coronary syndrome was made and a concomintant, significant anemia was found (hemoglobin 8.2 g/dl). No cororary disease was found by an angiography though the past medical history revealed systemic hypertension, chronic kidney disease (KDOQY stage III), and diabetes mellitus type II on insuline therapy. A Wireless Video capsule examination was positive for jejunum angiodysplasia and an argon plasma coagulation was chosen as terapeutic option. No subsequent supportive therapy and interventions were required in subsequent one year of follow-up.
Słowa kluczowe
Wydawca

Czasopismo
Rocznik
Tom
10
Numer
1
Opis fizyczny
Daty
wydano
2015-01-01
otrzymano
2015-10-25
zaakceptowano
2015-11-05
online
2015-12-17
Twórcy
  • Department of Translational Medical Sciences, University of Naples “Federico II”, Naples, Italy
autor
  • Department of Clinical Medicine and Surgery, University of Naples “Federico II” Naples, Italy, Via Sergio Pansini, 80131 Naples, Italy, aldorocca@hotmail.it
  • Department of Cardiac Surgery, IRCCS Policlinico San Donato Milanese, Milan, Italy
autor
  • Department of Clinical Medicine and Surgery, University of Naples “Federico II”, Naples, Italy
  • Pulmonary Hypertension Center, Thoraxclinic at the University of Heidelberg, Heidelberg, Germany
  • Centre Hospitalier de Luxembourg, Luxembourg Ville, Luxembourg
  • Centre Hospitalier intercommunal de Poissy, Saint-Germain-en-Laye, France
  • Unit of Hepatobiliary Surgery and Liver Transplant Center, Department of Gastroenterology and Transplantation, ”A. Cardarelli” Hospital, Naples, Italy
  • Department of Sport Sciences and Wellness, University of Naples “Parthenope”, Naples, Italy
  • Department of Public Health, University of Naples “Federico II”, Naples, Italy #Deceased. Paper written in memory
Bibliografia
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Typ dokumentu
Bibliografia
Identyfikatory
Identyfikator YADDA
bwmeta1.element.-psjd-doi-10_1515_med-2015-0092
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