Multiple jejunal angiodysplasia detected by enema-helical CT.
The small bowel angiodysplasia is a rare entity that causes lower intestinal bleeding; the diagnosis is difficult and based on selective angiogram. In our case, an 85-year-old woman was hospitalized after frequent episodes of melena. We performed an enema-helical CT abdominal examination before and after contrast medium administration per venam, detecting some increased intensity areas that surgery confirmed to be a vascular dysplasia on the jejunal first loop. We found the source of hemorrhage without performing an angiographic examination.
Grassi
R
R
Institute of Radiology, Second University of Naples, Naples, Italy.
di Mizio
R
R
Romano
S
S
Cappabianca
S
S
del Vecchio
W
W
Severini
S
S
D000368:Aged; D000369:Aged, 80 and over; D016888:Angiodysplasia / Q000150:complications / Q000000981:diagnostic imaging* / Q000601:surgery; D003287:Contrast Media; D004733:Enema; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery; D006801:Humans; D007583:Jejunum / Q000098:blood supply* / Q000000981:diagnostic imaging* / Q000601:surgery; D008747:Methylcellulose; D014057:Tomography, X-Ray Computed / Q000379:methods*
D003287:Contrast Media; D008747:Methylcellulose