fine. Exam normal. Labs normal. Normocytic normochromic red cells. I am thinking *please* let this be bleeding from diverticulosis or angiodysplasia. They decide to CT scan my abdomen and pelvis. The CT tech lets me walk back to the control room to look at the screen images. I had left my reading

Imaging / Endoscopy
Upper GI: OGD → ulcers, cancer, angiodysplasia
Lower GI: Colonoscopy → polyps, cancer, IBD
Consider capsule endoscopy if small bowel suspected

www.youtube.com/watch?v=Ibzq...

Hereditary hemorrhagic telangiectasia is characterized by systemic angiodysplasia and multiorgan involvement, and manifests with mucocutaneous or visceral bleeding and anemia.
➡️ www.cmaj.ca/lookup/doi/10.1503/cmaj.250693

Von Willebrand Factor Deficiency Impairs Vascular Morphogenesis via Angiopoietin-2: Relevance for Gut Angiodysplasia https://www.biorxiv.org/content/10.1101/2025.09.09.675051v1

Von Willebrand Factor Deficiency Impairs Vascular Morphogenesis via Angiopoietin-2: Relevance for Gut Angiodysplasia https://www.biorxiv.org/content/10.1101/2025.09.09.675051v1

Angiodysplasia Cecum: ctisus.com/teachingfile...

This study shows that rifaximin inhibits #Angiogenesis in small #bowel #angiodysplasia (SBAD) by suppressing the lncRNA-HIF1A-AS2/miR-153-3p/HIF-1α/Ang-2 axis, promising a novel #therapeutic strategy for SBAD-associated GI bleeding. #medsky

Read:

Patients with kidney failure were less likely to receive endoscopy, revealing a potential care gap. This study in #ASNKidney360 evaluates angiodysplasia-related gastrointestinal bleeding incidence, outcomes, and readmissions among patients with CKD. Read more: kidney.pub/KID0901

SUNDAY QUESTION: Another question taken from our Curriculum Cup: Surgical Emergencies.

Remember, the Curriculum Cup closes on the 11th July so if you want more, make sure you give it a go.

www.rcemlearning.co....

In the meantime, ANSWER BELOW

Update: she is back home feeling much better, and it was NOT cancer!! It was actually angiodysplasia of the colon, which is easily treatable and not cancerous at all. I'm beyond relieved. Work will resume to normal today ♡

Imagine you could no longer feel the grass under your feet tomorrow. That tickle, the slight dampness, the counter-pressure of the earth. That's what happened to me... (Article in German)
#rarediseases #angiodysplasia #switzerland #chronicillness

angiodysplasie.ch/zu-mobil-fue...

Von Willebrand disease associated angiodysplasia can be challenging to manage. I suspect the best treatment will be targeting angiogenesis rather than VWD. Excellent review on the subject in Haematologica. tinyurl.com/vu7n9w5h

We are now also an associate member of #EURORDIS. EURORDIS - Rare Diseases Europe is a unique, non-profit association of over 1000 rare disease patient organizations from 74 countries. #rarediseases #Switzerland #angiodysplasia #vascular #malformation #europe www.eurordis.org

From the #Transfusion Evidence Round-Up #WorldAnaemiaAwarenessDay2025:

Standard of Care Versus Octreotide in Angiodysplasia-Related Bleeding (the OCEAN Study): A Multicenter Randomized Controlled Trial
by Goltstein et al.
www.transfusionevidencelibrary.com/articles/381...

GI Bleed Jejunum Angiodysplasia

🩸 Iron deficiency associations

+esophageal webs+dysphagia ➡️ Plummer-Vinson
+angiodysplasia+AS ➡️ Heyde
+nocturnal leg pain ➡️ RLS
+craving ice ➡️ pagophagia
+curved nail ➡️ koilonychia
+gluten intolerance ➡️ Celiac
+olfactory cravings ➡️ Desiderosmia
#hemesky #MedSky #IMsky #IDA #anemia

🩸Gastrointestinal Angiodysplasia before and after treatment of severe aortic stenosis Heyde´s syndrome⁦‪ @NEJM‬⁩

➡️After TAVR the number and size of the angiodysplastic lesions in these patients were reduced, and no patient had active bleeding🫀#VWF