ABSTRACT

Angiodysplasias are most commonly observed in the cecum and ascending colon. The number of cases with angiodysplasias in the jejunum is very few. The endovascular transcatheter embolization method can be used in cases of lower gastrointestinal tract bleeding when endoscopy is not effective. According to the nature of lesion and source of bleeding, embolization is performed using the appropriate embolic agent. A surgical approach is used when endoscopic treatment methods and mesenteric angiography attempts fail. Here we present a rare case of jejunal anjiodysplasia with massive lower gastrointestinal bleeding treated with selective arterial embolization followed by urgent surgery because of a failed attempt to gain hemodynamic stability using both conservative and endoscopic methods.