Gastric arteriovenous malformation presenting with upper gI
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Gastric AVMs are a rare cause of upper gastrointestinal bleeding and are difficult to diagnose radiologically, as most are small and submucosal, and even when associated with massive bleeding, are difficult to appreciate endoscopically. Our patient is an unusual case of this phenomenon, presenting with haematemesis and malaena, as well as intraperitoneal bleeding. Furthermore, the histopathological diagnosis revealed not only a gastric AVM but also an incidental leiomyoma, which was mistaken as the culprit lesion intraoperatively. Although endoscopic and endovascular approaches are utilised more and more in the management of these lesions, our case highlights the important of surgery as a definitive procedure in emergencies and a treatment option in elective cases...

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