Colonic diverticular haemorrhage

Case contributed by Dr Craig Hacking

Presentation

Bright red PR bleeding, warfarinised for mechanic valve.

Patient Data

Age: 80-90
Gender: Female

The non contrast study shows some minor dense faecal debris within occasional colonic diverticuli. There is a backgorund of reasonbly severe colonic diverticulosis, most prominant in the descending and sigmoid colon.

Tha arterial and portal venous phases confirm a diverticular haemorrhage into the colonic lumen at the junction of the descending and sigmoid colon.

There is no evidence of acute diverticulitis.

Case Discussion

The bleeding settled with cessation of warfarin. The patient was discharged and followed up with an outpatient colonoscopy which confirmed extensive diverticulosis.

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Case information

rID: 52561
Case created: 12th Apr 2017
Last edited: 27th Apr 2017
Inclusion in quiz mode: Included

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