Vascular malformation of the jejunum associated with nodal non-Hodgkin's malignant lymphoma

Matsevych OY, Kitinya JN, Masegela PM
Correspondence: Dr Oleh Matsevych, info@matsevych.com

ABSTRACT
We report a case of multiple minute angioectasia of the jejunum presenting with fatal gastrointestinal bleeding. Repeated endoscopies, mesenteric angiography and scintigraphy failed to locate the bleeding site. Multiple minute angioectasia was suspected on intraoperative enteroscopy; however, surgical resection failed to permanently control gastrointestinal haemorrhage. The final histology report confirmed the presence of multiple minute angioectasia of the jejunum. In this case study, we review current diagnostic and therapeutic modalities, and discuss the association between gastrointestinal angioectasia and malignant lymphoma.

Keywords: angiodysplasia, angioectasia, gastrointestinal haemorrhage, lymphoma
Singapore Med J 2011; 52(2): e23-e26