Abstract
A patient with vascular ectasia with three longitudinal ulcers in the right side of the colon was treated. This is the second documented case of vascular ectasia accompanied by longitudinal ulcer in the world literature. The patient was a 71-year-old female with chief complaints of melena, abdominalgia persisting for two days and diarrhea followed by melena. Examination revealed mild anemia of the palpebral conjunctiva and tenderness in the right lower quadrant of the abdomen. Multiple irregular shallow ulcers were found from the cecum to the ascending colon by emergency endoscopy of the colon, and poor dilatation of the same area was detected by barium enema examination. Right hemicolectomy was performed. Resected specimen showed three longitudinal ulcers from the cecum to the ascending colon. Pathologically, the ulcers were UL II in depth and accompanied by vascular dilatation and coil-like changes; the diagnosis of vascular ectasia was made. The patient was discharged in improved condition on the 39th postoperative day. Pyrexia occured two months after discharge and persisted thereafter. The diagnosis of pancreatic cancer and its liver metastasis was established as a result of exploratory laparotomy. The patient died of cancer eight months after the initial operation.
