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Nephrol Dial Transplant (2000) 15: 1869-1871
© 2000 European Renal Association-European Dialysis and Transplant Association

Case Reports

An unusual multiplex cause of severe gastrointestinal bleeding in a haemodialysed patient

György Fábián, Nóra Szigeti, Tibor Kovács and Judit Nagy

2nd Department of Internal Medicine and Nephrological Center, University Medical School of Pécs, Pécs, Hungary

Keywords: angiodysplasia; chronic renal failure; gastrointestinal bleeding; oestrogen–progesterone therapy; vascular malformation; watermelon stomach



   Introduction
 
Gastrointestinal bleeding is a frequent and sometimes life-threatening complication of end-stage renal disease. The most important causes of bleeding are vascular malformations, peptic ulcers, erosive gastritis and oesophagitis, colonic and rectal ulcers, and diverticular disease [1]. In the spectrum of these abnormalities, vascular malformations have a very specific place, because diagnosis often is difficult and treatment is frequently frustrating [2,3].



   Case
 
A 77-year-old female patient has had a history of hypertension since 1966 and according to past medical history, she had not been treated optimally. End-stage renal disease was diagnosed in January 1998. Blood pressure was 200/100 mmHg, serum creatinine 441 µmol/l, urea nitrogen 34.7 mmol/l, creatinine clearance 9.8 ml/min, and serum potassium 6.3 mmol/l. The patient had severe . . . [Full Text of this Article]



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