Twelve-year history of gastrointestinal bleeding in a patient with calcific aortic stenosis and hemorrhagic telangiectasia.

A case has been presented of a patient with a 12-year history of unexplained gastrointestinal bleeding who developed severe aortic stenosis. Small telangiectasia were finally noted on his lip and gastroscopy revealed gastric and duodenal telangiectasia though he had no history of epistaxis and an unremarkable family history. Patients with aortic stenosis and unexplained gastrointestinal bleeding should be carefully evaluated for hemorrhagic telangiectasia in spite of a negative family history and no visible evidence of telangiectasia.