Khanlou H, Malhotra A, Friedenberg F, Rothstein K
Department of Medicine, Albert Einstein Medical Center, Philadelphia, PA 19141, USA.
Rev Rhum Engl Ed. 1999 Feb;66(2):119-21.
Telengiectasias (arteriovenous malformations) can be seen in scleroderma throughout the gastrointestinal tract, including the stomach, small bowel and colon. Massive gastrointestinal bleeding rarely results from these malformations in scleroderma. The case of a patient presenting with severe jejunal bleeding secondary to telangiectasias with special regard to the management is discussed. This case emphasizes the importance of endoscopic examination combined with mesenteric angiography in patients with scleroderma who present with a high index of suspicion of telangiectasias as a source of bleeding.
