The vascular malformationsrepresent one of the main causes of lower gastrointestinal bleeding in elderlypatients. The incidence of the disease in patients with less than thirty yearsis a rare described event. The objective of the present report is to show acase of angiodysplasia, located in the cecum region, in-patient on his thirddecade of life, revealed by preoperative selective angiography and confirmedby histopathological study. Men, 29th years old, presented complaininga chronic anemia of obscure origin for several years and refractory to the clinicaland transfusion therapy. With the objective to investigate a possible digestiveorigin he was submitted to the abdominal selective angiography that demonstratedthe presence of vascular malformation located in the cecum. A right colectomywas done and then it was possible to confirm the localization of the diseasefor postoperative angiography of surgical specimen and the diagnosis of angiodysplasiafor the anatomopathologic study. After surgical procedure presented favorableevolution, being currently in the 5th postoperative month withoutpresenting signals of anemia. Despite of an uncommon possibility the presenceof angiodysplasia has to be always considered in the clinical investigationof anemia of obscure cause in young patients.
