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Cryptogenetic intestinal angiodysplasia and elderly aortic stenosis: Heyde's syndrome? A case report.
Chir Ital. 2009 Jul-Aug; 61(4):497-501.CI

Abstract

Gastrointestinal haemorrhage is extremely frequent, but in some cases the aetiology may remain unknown. Haemorrhage from the small bowel especially can create important diagnostic problems. We report the case of a patient admitted to hospital with intestinal bleeding in an ileal site in association with aortic stenosis. Enteric angiodysplasia is a frequent pathology in the surgery of the gastrointestinal tract. Recognizing bleeding lesions in the small intestine can be really difficult. Concerning the case reported here, the most probable diagnostic hypothesis is Heyde's syndrome, which is characterised by valvular aortic stenosis together with gastrointestinal bleeding due to cryptogenetic angiodysplasias. The choice to be made in the therapeutic management of angiodysplasia is still a debatable issue and should be suited to the patient's clinical state and the site and extent of the bleeding. In the literature the link between aortic valvular stenosis and intestinal angiodysplasia is unclear. The physiopathological relationship between the two entities is still mysterious.

Authors+Show Affiliations

Department of General Surgery LeScotte Hospital, Siena.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
Journal Article

Language

eng

PubMed ID

19845273

Citation

Testi, Walter, et al. "Cryptogenetic Intestinal Angiodysplasia and Elderly Aortic Stenosis: Heyde's Syndrome? a Case Report." Chirurgia Italiana, vol. 61, no. 4, 2009, pp. 497-501.
Testi W, Coratti F, Staffieri C, et al. Cryptogenetic intestinal angiodysplasia and elderly aortic stenosis: Heyde's syndrome? A case report. Chir Ital. 2009;61(4):497-501.
Testi, W., Coratti, F., Staffieri, C., Malatesti, R., Baldoni, G., Borgogni, V., Lorenzi, B., Coratti, A., & Tani, F. (2009). Cryptogenetic intestinal angiodysplasia and elderly aortic stenosis: Heyde's syndrome? A case report. Chirurgia Italiana, 61(4), 497-501.
Testi W, et al. Cryptogenetic Intestinal Angiodysplasia and Elderly Aortic Stenosis: Heyde's Syndrome? a Case Report. Chir Ital. 2009 Jul-Aug;61(4):497-501. PubMed PMID: 19845273.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Cryptogenetic intestinal angiodysplasia and elderly aortic stenosis: Heyde's syndrome? A case report. AU - Testi,Walter, AU - Coratti,Francesco, AU - Staffieri,Carmen, AU - Malatesti,Riccardo, AU - Baldoni,Giulia, AU - Borgogni,Vanessa, AU - Lorenzi,Bruno, AU - Coratti,Andrea, AU - Tani,Francesco, PY - 2009/10/23/entrez PY - 2009/10/23/pubmed PY - 2009/12/16/medline SP - 497 EP - 501 JF - Chirurgia italiana JO - Chir Ital VL - 61 IS - 4 N2 - Gastrointestinal haemorrhage is extremely frequent, but in some cases the aetiology may remain unknown. Haemorrhage from the small bowel especially can create important diagnostic problems. We report the case of a patient admitted to hospital with intestinal bleeding in an ileal site in association with aortic stenosis. Enteric angiodysplasia is a frequent pathology in the surgery of the gastrointestinal tract. Recognizing bleeding lesions in the small intestine can be really difficult. Concerning the case reported here, the most probable diagnostic hypothesis is Heyde's syndrome, which is characterised by valvular aortic stenosis together with gastrointestinal bleeding due to cryptogenetic angiodysplasias. The choice to be made in the therapeutic management of angiodysplasia is still a debatable issue and should be suited to the patient's clinical state and the site and extent of the bleeding. In the literature the link between aortic valvular stenosis and intestinal angiodysplasia is unclear. The physiopathological relationship between the two entities is still mysterious. SN - 0009-4773 UR - https://www.unboundmedicine.com/medline/citation/19845273/Cryptogenetic_intestinal_angiodysplasia_and_elderly_aortic_stenosis:_Heyde's_syndrome_A_case_report_ L2 - https://medlineplus.gov/smallintestinedisorders.html DB - PRIME DP - Unbound Medicine ER -