Angiodysplasia of the Colon and Rectum. Case Report

In 1974 was the first time that to describe abnormal distributions of the vessels of the submucosa of the colon, used the term Angyodispla.The aim of this paper is to report a case of simultaneous angiodysplasia of the colon and rectum.Case report.-Male,25 years old with a history of appendectomy at age 19 with massive bleeding during surgery.He came to the Hospital for presenting abundant bleeding, colonoscopy was done, finding the right colon to the liver flexure and in the rectum vessels engorgement at the submucosa , the other imaging studies was normal, we proposed surgery, he accepted.We done right colectomy with ileotransverso and colostomy.The pathology report was Angiodysplasia Colon and Rectum.There was successful evolution, but we performed colonoscopy by colostomy because he reported bleeding throw it, finding engorgement vessels at the submucosa of the remaining colon, we discussed the case on staff and decided to do total colectomy and ending ileostomyl and in the future pouch ileoanal, the patient did not accept.Discussion.-Vascular lesions can be associate with some syndroms in this patient were discarded, performing hepatic, and renal studies, the presentation of these pathologies is after 60 years and surgery remains the treatment of choice.Conclusions.-Inyoung patients with gastrointestinal bleeding an colonoscopy will be performed if the basic studies do not show organic pathology.