C. THOMAS FLYNN, M.D.; PREM K.G. CHANDRAN, M.D.
To the editor: We read with interest the recent paper (1) on upper gastrointestinal bleeding in patients with chronic renal failure. We write to report the cases of two patients on maintenance hemodialysis who had colonic angiodysplasia causing persistent lower intestinal hemorrhage.
A 75-year-old white woman was on outpatient hemodialysis for end-stage renal disease due to hypertensive nephrosclerosis. She had worsening anemia and hematochezia 4 months after commencement of renal replacement therapy. Intensive investigation using panendoscopy, visceral angiography, and technetium-labeled erythrocyte bleeding study showed that the bleeding was due to ascending colonic angiodysplasia. Right hemicolectomy was done but failed to
FLYNN CT, CHANDRAN PK. Renal Failure and Angiodysplasia of the Colon. Ann Intern Med. ;103:154. doi: 10.7326/0003-4819-103-1-154_2
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Published: Ann Intern Med. 1985;103(1):154.
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