[Case of small bowel angioectasia in which the resection site was angiographically detected using intraoperative dye infusion].
A 37-year-old Japanese man undergoing treatment for dilated cardiomyopathy was presented with weakness and melena. He had conjunctival pallor and difficulty in standing;his blood pressure was 81/62 mmHg. Abdominal computed tomography revealed contrast dye leakage into the small intestine. He was diagnosed with hemorrhagic shock secondary to intestinal bleeding;we administered large volumes of intravenous fluid along with performing a blood transfusion. We then performed angiography to determine the site of bleeding angioectasia and placed a catheter into the affected artery. We identified the resection site using an intraoperative dye infusion via the catheter, and successfully performed small bowel resection. He was subsequently discharged without complications.
Department of Gastroenterology and Hepatology, Ogaki Municipal Hospital.
Kenta
K
Yamamoto
Takashi
T
Kumada
Seiki
S
Kiriyama
Makoto
M
Tanikawa
Yasuhiro
Y
Hisanaga
Hidenori
H
Toyoda
Akira
A
Kanamori
Toshifumi
T
Tada
Syusuke
S
Kitabatake
Yasuhiro
Y
Sone
D000328:Adult; D016888:Angiodysplasia / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery*; D000792:Angiography / Q000379:methods*; D004396:Coloring Agents / Q000008:administration & dosage; D013505:Digestive System Surgical Procedures; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000000981:diagnostic imaging; D006801:Humans; D007203:Indigo Carmine / Q000008:administration & dosage; D007421:Intestine, Small / Q000098:blood supply* / Q000601:surgery*; D007432:Intraoperative Period; D008297:Male; D012771:Shock, Hemorrhagic / Q000000981:diagnostic imaging / Q000209:etiology; D014057:Tomography, X-Ray Computed
D004396:Coloring Agents; D007203:Indigo Carmine