case_images: PMC8463248_01
case_images: Images from the capsule endoscopy as it progressed through the GI tract display characteristic blue rubber blebs. These vascular ectasias are suggestive of cavernous hemangiomas and AVM. The lesions appear most frequently in the duodenum and gradually decrease in size and density in the distal small bowel.
case_images: CRIGM2021-9992111.001.jpg
case_images: PMC8463248_01_CRIGM2021-9992111.001.jpg
case_images: fig1
case_images: Capsule endoscopy was then conducted, confirming vascular ectasias with superficial dilated venules/capillaries, located throughout the small bowel, as seen in Figure 1.
case_images: Interventional radiology completed angiography of the celiac (a), superior mesenteric (b), and inferior mesenteric (c) during arterial embolization. 300 to 500 micron PVA particles were used to embolize an AVM in the midjejunum.
case_images: CRIGM2021-9992111.002.jpg
case_images: PMC8463248_01_CRIGM2021-9992111.002.jpg
case_images: fig2
case_images: Ultimately, embolization of multiple arterial structures, shown in Figure 2, was performed but was unsuccessful in controlling the bleeding.