Vascular malformation of the jejunum presenting as obscure gastrointestinal haemorrhage: detection with multidetector CT angiography.
Vascular malformation of the small bowel is an uncommon cause of gastrointestinal haemorrhage. Phlebectasia or venous ectasia is a rare benign vascular anomaly of the gastrointestinal tract. We report a 39-year-old Egyptian man presenting with multiple jejunal phlebectasia, liver haemangioma and port-wine naevus. Despite recurrent melaena, the results of various routine investigations, including repeated endoscopic procedure, were negative. The site and aetiology of bleeding was detected using multidetector computed tomography (MDCT) angiography and was further confirmed by double-balloon enteroscopy. This report emphasises the potential of MDCT angiography in the diagnosis of small intestine lesions presenting as obscure bleeding.
Lal
H
H
Department of Radiodiagnosis, Sanjay Gandhi Post Graduate Institute of Medical Sciences, Lucknow, Uttar Pradesh, India.
Neyaz
Z
Z
Singh
R K
RK
Mohindra
S
S
D000328:Adult; D058582:Double-Balloon Enteroscopy / Q000379:methods; D004724:Endoscopy / Q000379:methods; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000000981:diagnostic imaging; D006391:Hemangioma / Q000175:diagnosis; D006801:Humans; D007583:Jejunum / Q000002:abnormalities / Q000000981:diagnostic imaging / Q000503:physiopathology*; D008297:Male; D019339:Port-Wine Stain; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome; D054079:Vascular Malformations / Q000175:diagnosis* / Q000000981:diagnostic imaging