Successful Management of Angiodysplasia of Colon by Transarterial Embolisation: A Case Report

Angiodysplasia is a common cause of lower Gastrointestinal (GI) bleeding, particularly in elderly patients. It can range from asymptomatic or occult bleeding to moderate or severe bleeding that leads to haemodynamic instability. The diagnosis of angiodysplasia should be considered among the differential diagnosis in cases of intermittent GI bleeding when no other significant cause is identified. Various treatment modalities are described for management; among them, endovascular management with embolisation is one of the most effective and safe approaches, especially in high surgical risk patients. Hereby, authors present present a case of splenic flexure colon angiodysplasia in 54-year-old male patient, that led to haemodynamic compromise, which was successfully treated via minimally invasive transarterial endovascular embolisation without the need for surgical intervention. In haemodynamically unstable patients, angiography is a suitable approach because it not only demonstrates bleeding points but also offers a minimally invasive therapeutic endovascular intervention in the same sitting.