The Rare Observation of Intestinal Bleeding from Cavernous Angioma of the Caecum (Clinical Case)

The article describes a clinical case of successful treatment of a 79-year-old female with recurrent
bleeding from cavernous angioma of the cecum. The use of a wide arsenal of modern methods of
instrumental diagnostics did not let to determine the source of bleeding. Conservative therapy was
ineffective. Primary exploratory laparotomy revealed a Meckel’s diverticulum, assessed as a possible
cause of bleeding. The resection of the small intestine with a diverticulum and the formation of
the "end-to-end" entero-enteroanastomosis were performed. Intestinal bleeding continued after
surgery. We revealed that the source of bleeding was the mucous membrane of the posterior wall of
the cecum during the second operation. The right-sided hemicolectomy with the formation of the
"end-to-side" ileotransverseanastomosis was performed. Cavernous angioma was detected during
the pathological examination of the resected material. The patient was discharged with recovery.