Small bowel angioectasia presenting with recurrent bleeding: A case report

Abstract

There are few published reports of small bowel bleeding from Nigeria. This may be attributed to several factors including; rarity, reduced  index of suspicion and passing on before diagnosis in most health facilities in the country. We present the case of a 37-year-old man with  one-month history of haematochezia following the use of non-steroidal anti-inflammatory drugs for body pains. He had computed  tomography angiography and video capsule endoscopy done after negative upper and lower gastrointestinal endoscopy. The video  capsule endoscopy revealed angioectasia in the small bowel. The bleeding resolved following surgical resection of the small bowel  segments affected by the angioectasia. This report is an endeavor to highlight the importance of having a high index of suspicion in the  management of small bowel bleeding.