Angio-embolization of lower GI bleed
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
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.
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
Unable to process the form. Check for errors and try again.