Angiodysplasia is one of the commonest vascular lesion leading to gastrointestinal bleed accounting for approximately 6.0% of lower gastrointestinal (GI) bleeding and 1.2 -8.0% upper GI bleed. In elderly patients small bowel angiodysplasia is responsible for 40% of obscure bleed while in 10 % of young adults small bowel angiodysplasia is the single most common cause of obscure GI bleed [1]. Jejunum is the most common site of intestinal vascular ectasia followed by ileum and duodenum [2]. By far degenerative changes are considered as the most common cause of upper intestinal angiodysplasia. Angiodysplasia has a varied clinical presentation, from a spectrum of occult bleeding to acute massive hemorrhage. It can also be diagnosed incidentally. CT angiography and endoscopy are the useful diagnostic tools. Therapeutic strategies include or angiographic embolization, endoscopic obliteration of bleeding angiodysplastic lesion and Surgery [3]. Goldabine first described angiodysplasia as an ectasia of the submucosal vessels of the bowel [4]. Further it has been seen to be an abnormal ectatic capillary in the mucosal and submucosal layer of GI tract consisting endothelium with minimal or absent smooth muscle which can readily rupture and cause bleeding [5]. Various management options for angiodysplasias includes endoscopic obliteration or angiographic embolization by intra-arterial vasopressin injection. Selective gel foam embolisation, endoscopic electrocoagulation and injection of sclerosants are also other modalities used in treatment of angiodysplasia [6]. Microcoil embolization is a safe an efficacious method in the management of Acute GI hemorrhage. Operative intervention has been indicated for refractory bleeding or lesions in sites unaccessible to endoscopic interventions. Coil embolization prior to surgery is also useful for the localization of the lesion as the coil is palpable intraoperatively in open surgery and detectable under X-ray fluoroscopy in both open and laparoscopic surgery. The challenge is more in laparoscopic surgery due to limited viewing area on the screen, handling bowel loops and absence of tactile feedback of Coil as compared to open surgery. We are reporting a case of 57

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