Background. @entity360 can be due to a variety of etiologies ranging from being common like @entity548 peptic @entity1066 or esophageal varices. One of the rarely documented causes is the @entity75 which is known as an abnormally large ectatic artery that penetrates the gut wall, occasionally eroding through the mucosa causing @entity548 . In addition to that, we refer to the uncommon presentation of @entity75 itself as it is well known to be found in the stomach, esophagus, duodenum, and jejunum but not the ascending colon as in our case. The @entity1 had a coexisting @entity3039 ( @entity3039 ) that was resistant to different therapies. Case Report. We report a case of a 48-year-old Egyptian female known for chronic @entity3039 resistant to treatment. The @entity1 presented with bright red @entity548 per rectum and severe life threatening @entity417 . Endoscopic study showed a @entity75 . Endoscopic clipping was successful in controlling the @entity548 . Conclusion. @entity75 is a rare reason for @entity360 and can present in common or unexpected places. Also extreme caution should be used in @entity1 with @entity548 tendency due to different reasons, like @entity3039 in our case.

XXXX in the ascending colon presenting with @entity360 and severe @entity417 complicated by a coexisting severe resistant chronic @entity3039 .

@entity1 :: ('9606', 'Species') :: ['patients', 'patient'] @entity417 :: ('MESH:D000740', 'Disease') :: ['anemia'] @entity548 :: ('MESH:D006470', 'Disease') :: ['bleeding', 'massive bleeding'] @entity75 :: ('MESH:D001927', 'Disease') :: ['Dieulafoy lesion'] @entity1066 :: ('MESH:D014456', 'Disease') :: ['ulcer disease'] @entity3039 :: ('MESH:D016553', 'Disease') :: ['idiopathic thrombocytopenic purpura', 'ITP'] @entity360 :: ('MESH:D006471', 'Disease') :: ['GI bleeding', 'GI (gastrointestinal) bleeding']
@entity75 :: (MESH:D001927,Disease) :: ['Dieulafoy lesion']
