Angio-embolization of lower GI bleed

Diagnosis certain

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

From the case: Angio-embolization of lower GI bleed

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 embolized with PVA particles of 200-350microns.

From the case: Angio-embolization of lower GI bleed

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 embolization with PVA particles there were no fresh episodes of bleeding. The Hematocrit returned to normal.

Acknowledgements to Dr Kapil Naik, my colleague in IR