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.



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        • Cristin A
        • Gasparini D
        • Pappalardo S
        • Stefanutti C
        • Aveni F
        Angiomatosi digiunale isolata. Una rara causa di emorragia intestinale.
        Minerva Chir. 1990; 45: 1477-1479
        • Afifi R
        • El Alaoui M
        • Kerkeb O
        Une cause rare d'hémorragie digestive basse: l'angiodysplasie du grêle.
        J Chir. 1997; 134: 189-192
        • Meyer CT
        • Troncale FJ
        • Galloway S
        • Sheahan DG
        Arteriovenous malformations of the bowel: an analysis of 22 cases and a review of the literature.
        Medicine. 1981; 60: 36-47
        • Briley Jr, CA
        • Jackson DC
        • Johnsrude IS
        • Mills RS
        Acute gastrointestinal hemorrhage of small-bowel origin.
        Radiology. 1980; 136: 317-319
        • Sos TA
        • Lee JG
        • Wixon D
        • Sniderman KW
        Intermittent bleeding from minute to minute in acute massive gastrointestinal hemorrhage: arteriographic demonstration.
        AJR. 1978; 131: 1015-1017
        • Ettorre GC
        • Francioso G
        • Garribba AP
        • Fracella MR
        • Greco A
        • Farchi G
        La tomografia computerizzata spirale con arteriografia nella diagnosi delle emorragie dell'apparato digerente con origine oscura.
        Radiol Med. 1995; 90: 726-733
        • Ettorre GC
        • Francioso G
        • Garribba AP
        • Fracella MR
        • Greco A
        • Farchi G
        Helical CT angiography in gastrointestinal bleeding of obscure origin.
        Radiology. 1996; 168: 727-730
        • Mindelzun RE
        • Beaulieu CF
        Using biphasic CT to reveal gastrointestinal arteriovenous malformations.
        AJR. 1997; 168: 437-438
        • Bender GN
        • Maglinte DDT
        • Kloopel VR
        • Timmons JH
        CT Enteroclysis: a superfluous diagnostic procedure or valuable when investigating small-bowel disease?.
        AJR. 1999; 172: 373-378
        • Foutch PG
        Angiodysplasia of the gastrointestinal tract.
        Am J Gastroenterol. 1993; 88: 807-818
        • Thompson JN
        • Hemingway AP
        • McPherson GAD
        • Rees HC
        • Allison DJ
        • Spencer J
        Obscure gastrointestinal haemorrhage of small bowel origin.
        Br Med J. 1984; 288: 1663-1665