Obscure gastrointestinal bleeding: preoperative CT-guided percutaneous needle localization of the bleeding small bowel segment

J Vasc Interv Radiol. 2009 Apr;20(4):533-6. doi: 10.1016/j.jvir.2009.01.015.

Abstract

A 57-year-old woman presented with obscure gastrointestinal bleeding. Double balloon enteroscopy, angiography, and surgery including intraoperative enteroscopy failed to identify the bleeding site. Multidetector computed tomography (CT) depicted active bleeding of a small bowel segment. The bleeding segment was localized by CT-guided percutaneous needle insertion and subsequently removed surgically.

Publication types

  • Case Reports

MeSH terms

  • Contrast Media / administration & dosage*
  • Female
  • Gastrointestinal Hemorrhage / diagnostic imaging*
  • Humans
  • Injections / instrumentation
  • Injections / methods
  • Intestine, Small / diagnostic imaging*
  • Iohexol / administration & dosage*
  • Middle Aged
  • Needles*
  • Tomography, X-Ray Computed / instrumentation*
  • Tomography, X-Ray Computed / methods*

Substances

  • Contrast Media
  • Iohexol