Angio-embolisation of lower GI bleed

Case contributed by Dr Paresh K Desai

Presentation

Past Coronary artery bypass surgery on apsirin/ clopidogrel. Underwent umbilical hernia repair with resection anastomosis of small bowel 2 weeks ago. Presented with acute lower GI bleeding in hypotension, falling hematocrit.

Patient Data

Age: 55 years
Gender: Male
DSA (angiography)

At angiography after selectively cannulating ileocolic branch -  an active extravasation of contrast was detected in the region of terminal ileum. this bleeder was embolised with PVA particles of 200-350microns.

DSA (angiography)

GI bleed

Case Discussion

Patient was taken up for angiography after resuscitation with IV lfuids and blood transfusions and also a colonoscopy which revealed active bleeding from ileum. After embolisation with PVA particles there were no fresh episodes of bleeding. The Hematocrit returned to normal.

Acknowledgements to Dr Kapil Naik, my colleague in IR

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Case information

rID: 14605
Case created: 10th Aug 2011
Last edited: 16th Nov 2016
Inclusion in quiz mode: Included

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