A CASE OF OSLER'S DISEASE WITH MASSIVE BLEEDING FROM GASTRIC TELANGIECTASES, TREATED WITH HEATER PROBE

Abstract

A case of Osler's disease with massive bleeding from gastric telangiectasis is reported. A 77-year-old woman was admitted to our department with a complaint of hematemesis. Endoscopic examination showed a easily bled telangiectasis in the upper part of the gastric body. Bleeding from the telangiectasis was stopped by local injection of pure ethanol, but telangiectasis reappeared 10 days later. Then the lesion was treated with heater probe and became scarred. Other 4 telangiectases found in the stomach were also treated with heater probe. Of these, 3 became scarred, but the remaining one reappeared. Gastric bleeding from telangiectases did not occur after the treatment and anemia was improved.