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Intestinal Diverticular Hemorrhage


Presentation

  • Approximately 75% of the patients presenting with acute GIB are upper GIB cases ( 3 ) .[ncbi.nlm.nih.gov]
Pain
  • A 19-year-old hemophilia patient with abdominal pain over the past three days and hematemesis.[ncbi.nlm.nih.gov]
Intestinal Perforation
  • Additionally, it is an invasive method, not exempt of complications such as the risk of intestinal perforation ( 11, 14 ).[ncbi.nlm.nih.gov]
Abdominal Pain
  • A 19-year-old hemophilia patient with abdominal pain over the past three days and hematemesis.[ncbi.nlm.nih.gov]
Confusion
  • The contrast medium extravasation may have several appearances, namely: linear, stream, whirl, ellipsoid, or it may also occupy the entire luminal thickness of the bowel loop, and in such case one should be careful not to confuse the intraluminal extravasation[ncbi.nlm.nih.gov]

Workup

Polyps
  • There are many possible causes of gi bleeding, including hemorrhoids peptic ulcers tears or inflammation in the esophagus diverticulosis and diverticulitis ulcerative colitis and crohn's disease colonic polyps cancer in the colon, stomach or esophagus[icd10data.com]
  • […] non-contrast-enhanced phase, either with or without enhancement after intravenous injection of the contrast medium; f) presence of tumor lesion in the gastrointestinal wall; g) signs of other GIB causes, such as vascular malformation, abnormally enhanced polyp[ncbi.nlm.nih.gov]
Colitis
  • There are many possible causes of gi bleeding, including hemorrhoids peptic ulcers tears or inflammation in the esophagus diverticulosis and diverticulitis ulcerative colitis and crohn's disease colonic polyps cancer in the colon, stomach or esophagus[icd10data.com]
  • CT angiography can accurately determine the four main causes of lower GIB (angiodysplasia, colonic diverticulum, neoplasms and colitis), providing guidance for specific treatment.[ncbi.nlm.nih.gov]

Treatment

  • It is a widely accessible method, and allows for local treatment and biopsies.[ncbi.nlm.nih.gov]

Prognosis

  • Abstract Gastrointestinal bleeding represents a common medical emergency, with considerable morbidity and mortality rates, and a prompt diagnosis is essential for a better prognosis.[ncbi.nlm.nih.gov]

Etiology

  • Acute gastrointestinal bleeding: detection of source and etiology with multi-detector-row CT. Eur Radiol. 2007; 17 :1555–1565. [ PubMed ] [ Google Scholar ] 30. Zink SI, Ohki SK, Stein B, et al.[ncbi.nlm.nih.gov]

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