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Editor's quiz: GI snapshot
A rare cause of GI bleeding in a patient with cutaneous vascular malformations
  1. Jovanna Tsoutsouki,
  2. Faidon-Marios Laskaratos,
  3. Sue Mason,
  4. Magda Smith,
  5. Leena Sinha
  1. Department of Gastroenterology, Queen's Hospital, Barking Havering and Redbridge University Hospitals NHS Trust, London, UK
  1. Correspondence to Dr Faidon-Marios Laskaratos, Department of Gastroenterology, Queen's Hospital, Barking Havering and Redbridge University Hospitals NHS Trust, Romford, London RM7 0AG, UK; flaskaratos{at}gmail.com

http://dx.doi.org/10.1136/gutjnl-2015-311331

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    Clinical presentation

    A 53-year-old woman with a background of chronic bronchitis was admitted with an infective exacerbation of chronic obstructive pulmonary disease. Her medical history included atrial septal defect (ASD) and ventricular septal defect (VSD) repair in childhood and a recent deep vein thrombosis, for which she was on rivaroxaban. On examination, she had multiple blue pigmented soft tissue lesions on her face, tongue, torso and hands (figures 1 and 2).

    Figure 1

    A vascular blue lesion on the patient's tongue.

    Figure 2

    A vascular blue lesion on the patient's eyelid.

    During her admission, the patient developed melaena associated with a significant acute drop …

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    Footnotes

    • Contributors JT and F-ML prepared the initial draft. All authors contributed to the conception and revision of this GI Snapshot and approved the final manuscript.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; internally peer reviewed.