Active diverticular haemorrhage

Case contributed by Dr Henry Knipe

Presentation

Large output PR bleeding since 4 am. ?active bleeding.

Patient Data

Age: 80
Gender: Male
Modality: CT

 

Extravasation of contrast within the mid sigmoid colon, with pooling on the portal venous phase. Extensive colonic diverticular disease. The remainder of the colon is unremarkable aside from some faecal colonic loading. Incidental duodenal diverticulum.

Liver, spleen, adrenal glands, pancreas are normal. Cholelithiasis. Multiple bilateral non-obstructive renal stones. Multiple simple renal cortical cysts. Prostatomegaly. Left ureterocoele or bladder diverticulum with calcification, which may be in the wall or may represent a dependent stone. No free fluid or free gas.

Case Discussion

Haemorrhage is uncommon in diverticular disease, complicating 3-5% of cases. Most commonly (90%) bleeding ceases spontaneously. However, in this case the patient required angio-embolisation to control the haemorrhage. 

PlayAdd to Share

Case Information

rID: 39415
Case created: 3rd Sep 2015
Last edited: 6th Sep 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.