Selective angiography. Inadequate guide for surgery in bleeding colonic diverticula.
We describe a case of severe bleeding from left-sided colonic diverticula, 2 1/2 years following right-sided colectomy for massive rectal bleeding confirmed angiographically to be from the right part of the colon. This experience demonstrates that total abdominal colectomy with ileoproctostomy is the only way to ensure that there is no bleeding postoperatively from diverticula, regardless of angiographic findings.
D000792:Angiography; D003082:Colectomy; D003125:Colostomy; D004241:Diverticulum, Colon / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000601:surgery*; D006801:Humans; D008875:Middle Aged; D011183:Postoperative Complications / Q000601:surgery