Case report: bladder opacification following enteral iopamidol as a sign of occult intestinal infarction.
A case of intestinal infarction due to superior mesenteric artery embolism is described in a 30-year-old female with Crohn's disease. This was accompanied by bladder opacification following enteral iopamidol administered at endoscopic retrograde cholangiopancreatography. The likely mechanism of this finding is transmural and transperitoneal absorption of enteral contrast medium and its significance as a sign of mesenteric ischaemia is discussed.
Coakley
F V
FV
Department of Radiology, Leicester General Hospital, UK.
Owen
R J
RJ
Rees
Y
Y
Dennison
A R
AR
D000328:Adult; D003287:Contrast Media; D003424:Crohn Disease / Q000150:complications; D004617:Embolism / Q000150:complications* / Q000601:surgery; D005260:Female; D006801:Humans; D007238:Infarction / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D007422:Intestines / Q000098:blood supply*; D007479:Iopamidol; D017538:Mesenteric Artery, Superior; D008641:Mesenteric Vascular Occlusion / Q000150:complications* / Q000601:surgery; D011859:Radiography; D001743:Urinary Bladder / Q000000981:diagnostic imaging*
D003287:Contrast Media; D007479:Iopamidol