A case of arterio-venous malformation requiring total gastrectomy due to repeated hemorrhage

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  • ONO Tomojiro
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • HIRAOKA Yu
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • ISHIGURO Toru
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • HAGA Norihiro
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University
  • ISHIDA Hideyuki
    Department of Digestive Tract and General Surgery, Saitama Medical Center, Saitama Medical University

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Other Title
  • 繰り返す出血のため残胃全摘を施行した胃動静脈奇形の1例
  • ショウレイ クリカエス シュッケツ ノ タメ ザンイ ゼンテキ オ シコウ シタ イドウ ジョウミャク キケイ ノ 1レイ

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A 68-year-old man was admitted due to black stool and epigastralgia. Emergency gastroscopy showed excessive bleeding in the stomach. On the following day, the patient was re-examined, and a submucosal elevation with blood vessel exposure on the top was found in the middle body of the stomach. Clips were put on this area to prevent further hemorrhage. CT scan and angiography findings were compatible with arterio-venous malformation of the stomach. On day 11, there was a massive hemorrhage again, and emergency arterial embolization was performed. Because of the persistent bleeding, the patient was referred to our division, and surgical resection of the remnant stomach was performed. The postoperative course was uneventful and the patient remains in good condition without any hemorrhagic event until today. We present this case and include a review of the literature.

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