Gastric antral vascular ectasia and solitary rectal ulcersyndrome - Two rare diagnoses as the cause of anemia in asingle patient: Case report
2017
Gastric antral vascular ectasia (GAVE) and solitary rectal
ulcer syndrome (SRUS) are both mentioned in the literature as
rare causes of iron deficiency anemia and gastrointestinal (GI)
bleeding. GAVE accounts for up to 4 % of upper nonvariceal GI
bleeding; SRUS is a rare benign disorder that presents with
rectal bleeding. We present the case of a 75yearold patient who
was admitted to our facility with anemia. In the same patient,
we encountered chronic bleeding from GAVE and SRUS. Both
diagnoses were treated endoscopically: GAVE by argon plasma
coagulation and a subsequent treatment with proton pump
inhibitors and SRUS by adrenaline injection and clipping,
consecutively treated with mesalazine enemas. The patient was
successfully cured, resulting in a stable level of hemoglobin
and no recurrent GI bleeding. We report a unique case of
chronic GI bleeding caused by two uncommon diagnoses. The
cooccurrence of GAVE and SRUS has not been previously described
or published.
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