Computed tomography enteroclysis for recurrent severe gastrointestinal bleeding in a patient with vascular malformation of the small bowel
| Autor: | Keiko Fujiwara, Shigenari Yamatogi, Takeshi Fujita, Kensaku Shimizu, Shinichi Hashimoto, Kazuo Hashimoto, Masatoshi Kato, Yasuo Washida, Hideko Onoda, Shingo Higaki, Naofumi Matsunaga, Isao Sakaida |
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| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Gastrointestinal bleeding Vascular Malformations medicine.medical_treatment Contrast Media Adhesion (medicine) Radiography Interventional Severity of Illness Index law.invention Diagnosis Differential Jejunum Recurrence Capsule endoscopy law Intestine Small medicine Humans Radiology Nuclear Medicine and imaging Embolization Aged medicine.diagnostic_test business.industry Vascular malformation Anemia Endoscopy medicine.disease Embolization Therapeutic Small intestine Surgery Radiographic Image Enhancement medicine.anatomical_structure Female Radiology Gastrointestinal Hemorrhage Tomography X-Ray Computed business |
| Zdroj: | Japanese Journal of Radiology. 28:58-61 |
| ISSN: | 1867-108X 1867-1071 |
| DOI: | 10.1007/s11604-009-0374-8 |
| Popis: | This is a case study of a 66-year-old woman who had a vascular malformation of the small bowel that was visualized on computed tomography enteroclysis (CTE). She presented with repeated tarry stool and severe anemia. Although the source of bleeding was not identified on upper and lower gastrointestinal endoscopy, active bleeding was revealed by capsule endoscopy in the deep jejunum. The cause of bleeding was not found on capsule endoscopy. CTE was requested as double-balloon endoscopy would have been difficult because of strong adhesion of the small intestine. A continual subtle vascular malformation of the jejunum, starting from the third jejunal branch end, was demonstrated on CTE with dynamic contrast enhancement. Because this vascular malformation was considered the cause of small intestinal bleeding, selective arterial coil embolization was performed. After embolization, the repeated tarry stool disappeared and the severe anemia dramatically improved. CTE may be a safe and useful method for determining the cause of small intestinal bleeding and for subsequent therapy. |
| Databáze: | OpenAIRE |
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