Art in Endoscopy: “Palm tree”

A palm tree-like jejunal angioectasia was found at capsule endoscopy in a patient referred to us because of suspected small-bowel bleeding. The image shows one of the most common small-bowel lesions in this clinical context. However, detecting the source of suspected small-bowel bleeding can be challenging because of several factors, namely, suboptimal timing of capsule endoscopy, poor preparation, and the intermittent bleeding pattern of some vascular lesions. Thus, at capsule endoscopy the gastroenterologist may encounter a small-bowel lesion with the same gratitude as a desert explorer sighting a palm tree oasis.

Alessandro Mussetto
Gastroenterology Unit, Santa Maria delle Croci Hospital, Ravenna, Italy

Fig. 1 Jejunal angoiectasia visualized at capsule endoscopy (MiroCam; IntroMedic, Seoul, Korea).

Publication History

Article published online:
17 December 2020