AN UNUSUAL CASE OF COLONIC ANGIODYSPLASIA

An unusual case of a colonic vascular anomaly resembling angiodysplasi a associated with right sided diverticular disease is presented. The p atient, a 74 year old man, presented with a four day history of rectal bleeding and subsequently underwent hemicolectomy. The resected speci men was flushed out with heparin-saline solution and injected with a b arium-gelatine mixture. Preoperative barium enema revealed right sided diverticula, whereas post-resection angioradiography revealed the ''c oral reef'' vascular anomaly consistent with angiodysplasia. Histology confirmed the presence of both diverticular disease and angiodysplasi a. This case report highlights the importance of considering a vascula r anomaly in patients presenting with rectal bleeding despite the pres ence of another radiologically demonstrable anatomical lesion.