A Case of Bleeding on the Ampulla of Vater Due to Angiodysplasia in a Patient with End Stage Renal Disease

Korean J Gastrointest Endosc > Volume 40(1); 2010 > Article

Korean Journal of Gastrointestinal Endoscopy 2010;40(1): 41-44.

말기 신부전증 환자에서 발생한 혈관이형성증에 의한 바터 팽대부 출혈 1예

김상배ㆍ전부석ㆍ정해빈ㆍ김형근ㆍ조영석ㆍ채현석ㆍ이창돈ㆍ김성수

가톨릭대학교 의과대학 의정부성모병원 내과학교실

A Case of Bleeding on the Ampulla of Vater Due to Angiodysplasia in a Patient with End Stage Renal Disease

Sang Bae Kim, M.D., Bu Sug Jun, M.D., Hae Bin Jung, M.D., Hyung Keun Kim, M.D., Young Suk Cho, M.D., Hyun Suk Chae, M.D., Chang Don Lee, M.D. and Sung Soo Kim, M.D.

Department of Internal Medicine, Uijeongbu St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Uijeongbu, Korea

Abstract

Gastrointestinal angiodysplasia is one of the causes of acute and chronic gastrointestinal bleeding, and gastrointestinal angiodysplasia makes up 2∼6% of all the cases of upper gastrointestinal bleeding. Bleeding from the ampulla of Vater is very rare. We report here on an unusual case of bleeding from angiodysplasia at the ampulla of Vater in a 58-aged woman with end stage renal failure. This lesion was successfully treated with endoscopic argon plasma coagulation. (Korean J Gastrointest Endosc 2010;40:41-44)

Key Words: Angiodysplasia, Ampulla of Vater, Argon plasma coagulation