This 91-year old lady had medical history of multiple hospitalizations, her family reported that she had at least 20 hospitalizations at another hospital (public) due to upper gastrointestinal bleeding, patient is refered to our endoscopic unit for evaluation and therapeutic treatment. Angiodysplasia is ectasia of intestinal submucosal veins and overlying mucosal capillaries. Lesions occur most often in the stomach, followed by the duodenum. Most lesions are less than 10mm in size, and multiple lesions are frequent. Concomitant lesions in the colon occur in 1/3 of cases. Anatomic clustering of acquired or sporatic angiodysplasia is a well described observation.
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