Small Intestinal Arteriovenous Malformation Treated by Double-balloon Endoscopy: A Case Report.

Kei Nomura,Tomoyoshi Shibuya, Yuichiro Terai, Rifa Omu, Shin Arii, Arisa Yuzawa, Yuji Ikeda,Ryota Uchida,Sho Sato,Ayato Murata,Shunsuke Sato,Yuji Shimada, Takafumi Maruyama,Osamu Nomura,Hirofumi Fukushima,Takashi Murakami,Dai Ishikawa,Mariko Hojo,Takuya Genda,Akihito Nagahara

Internal medicine (Tokyo, Japan)（2023）

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摘要

A 42-year-old man was referred to our hospital because of anemia. The patient underwent gastroscopy and colonoscopy, but no bleeding site was detected. Abdominal contrast-enhanced computed tomography (CT) showed vascular dilatation along the wall of the small intestine. Small bowel capsule endoscopy and antegrade double-balloon endoscopy (DBE) were performed, and the patient was diagnosed with a small intestinal arteriovenous malformation (AVM). The AVM was clipped using DBE. After clipping, abdominal contrast-enhanced CT and small bowel angiography revealed the disappearance of the AVM. DBE may be a viable therapeutic option, helping avoid surgery and its associated risks.

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