Diagnosis and Treatment of Multiple Intestinal Angioectasias: A Case Report

Abstract

The diagnostic course and management of a severe anemia due to recurrent bleeding from colonic angioectasias have been described. A 63-year-old man with chronic heart and renal failure, hypertension and diabetes presented severe anemia requiring transfusion. Anemia recurred and did not recover despite intravenous iron, folate and B 12 vitamin supplementation, associated with eritropoietin administration. A bleeding angiodysplasia was finally diagnosed and long-acting octreotide prescribed, obtaining increased hemoglobin levels in the time.