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. 2009 May 1:4:15.
doi: 10.1186/1749-7922-4-15.

Exsanguinating upper GI bleeds due to Unusual Arteriovenous Malformation (AVM) of stomach and spleen: a case report

Mohammad Iqbal Khan  1 , Muhammad Tariq Baqai, Mohammad Fahd Baqai, Naveed Mufti
Affiliations

Exsanguinating upper GI bleeds due to Unusual Arteriovenous Malformation (AVM) of stomach and spleen: a case report

Mohammad Iqbal Khan et al. World J Emerg Surg. .

Abstract

Background: In this paper we are reporting one case of exsanguinating upper gastrointestinal tract (GIT) bleed requiring massive blood transfusion and immediate life saving surgery.

Case presentation: A 30 years old female, 12 weeks pregnant was referred to our hospital from the earth-quake affected area of Kashmir with history of upper abdominal pain, haematemesis and melaena for one week. After stabilizing the patient, upper gastro-intestinal endoscopy was performed. It revealed gastric ulcer just distal to the gastro-esophageal junction on the lesser curvature. Biopsy from the ulcer edge led to profuse spurting of the blood and patient went into state of shock. Immediate resuscitation led to rebleeding and recurrence of post haemorrahagic shock.

Conclusion: The patient was immediately explored and total gastrectectomy with splenectomy concluded as life saving procedure. A review of literature was conducted to make this report possible.

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Figures

Figure 1
Figure 1
Histopathology of Stomach highlights overlying gastric mucosa displaying reactive changes.
Figure 2
Figure 2
Histopathology of Stomach highlights overlying gastric mucosa displaying reactive changes.
Figure 3
Figure 3
Occasional thrombi in the blood vessels.
Figure 4
Figure 4
slightly thickened blood vessels in the red pulp.
Figure 5
Figure 5
slightly thickened blood vessels in the red pulp.
See this image and copyright information in PMC

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References

    1. Gough MH. Submucosal arterial malformation of the stomach as the probable cause of recurrent severe haematemesis in a 16 year old girl. Br J Surg. 1977;64:522–4. doi: 10.1002/bjs.1800640721. - DOI - PubMed
    1. Finkel LJ, Schwartz IS. Fatal haemorrhage from a gastric cirsoid aneurysm. Hum Pathol. 1985;16:422–4. doi: 10.1016/S0046-8177(85)80236-7. - DOI - PubMed
    1. Chapman I, Lapi N. A rare cause of gastric haemorrhage. Arch Intern Med. 1963;112:101–5. - PubMed
    1. Lefkovitz Z, Cappell MS, Kaplan M, Mitty H, Gerard P. Radiology in the diagnosis and therapy of gastrointestinal bleeding. Gastroenterology Clinics of North America. 2000;29:489–512. doi: 10.1016/S0889-8553(05)70124-2. - DOI - PubMed
    1. Goldman RL. Submucosal arterial malformation ('aneurysm') of the stomach with fatal haemorrhage. Gastroenterol. 1964;46:589–94. - PubMed

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