Year 2022 / Volume 114 / Number 2
Letter
Strange coincidence in the gut: pseudomelanosis duodeni diagnosed by capsule endoscopy and active bleeding due to angiodysplasia

120-121

DOI: 10.17235/reed.2021.8254/2021

Albert Martín-Cardona, Montserrat Aceituno, Beatriz Arau, Ignacio Fernández-Urién,

Abstract
We present the case of an 82-year-old male with a medical history of hypertension, dyslipidemia, diabetes mellitus, chronic renal failure, ischemic heart disease and iron deficiency anemia. He was under therapy with hydralazine, furosemide, amlodipine, valsartan, nitroglycerin patches, bisoprolol, omeprazole, doxazosin, human insulin and oral iron. The patient presented at our institution with melena. Initial gastroscopy showed fresh blood and a gastric angiodysplasia that was treated with argon plasma coagulation (APC). Three months later, he suffered a new episode of bleeding and a small bowel capsule endoscopy (SBCE) was subsequently indicated.
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References
1. Palominos AO, Fontenla FD, Asanza CG, et al. Gastric and duodenal pseudomelanosis: Report of two cases. Rev Esp Enfermedades Dig. 2014;106(5):346–7. Available from: https://pubmed.ncbi.nlm.nih.gov/25287237/
2. Cook D, Napthali K. Pseudomelanosis Duodeni. N Engl J Med. 2020 Nov 12;383(20):e113. Available from: https://www.nejm.org/doi/full/10.1056/NEJMicm2001352
3. Weinstock LB, Katzman D, Wang HL. Pseudomelanosis of Stomach, Duodenum, and Jejunum. Gastrointest Endosc. 2003 Oct;58(4):578. Available from: https://doi.org/10.1067/S0016-5107(03)01874-1
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Martín-Cardona A, Aceituno M, Arau B, Fernández-Urién I. Strange coincidence in the gut: pseudomelanosis duodeni diagnosed by capsule endoscopy and active bleeding due to angiodysplasia . 8254/2021


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Publication history

Received: 01/08/2021

Accepted: 24/08/2021

Online First: 02/09/2021

Published: 07/02/2022

Article Online First time: 32 days

Article editing time: 190 days


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