The Usefulness of MDCT in Acute Intestinal Bleeding
Journal of the Korean Radiological Society
;
: 381-386, 2006.
Article
in Korean
| WPRIM
| ID: wpr-46685
ABSTRACT
PURPOSE:
We wanted to evaluate the usefulness of MDCT for localizing a bleeding site and for helping make a decision on further management for acute intestinal bleeding. MATERIALS ANDMETHODS:
We conducted a retrospective review of 17 consecutive patients who presented with acute intestinal bleeding and who also underwent MDCT before angiography or surgery. The sensitivity of MDCT for detecting acute intestinal bleeding was assessed and compared with that of conventional angiography.RESULTS:
The sensitivity of MDCT for the detection of acute intestinal bleeding was 77% (13 of 17), whereas that of angiography was 46% (6 of 13). All the bleeding points that were subsequently detected on angiography were visualized on MDCT. In three cases, the bleeding focus was detected on MDCT and not on angiography. In four cases, both MDCT and angiogphy did not detect the bleeding focus; for one of these cases, CT during SMA angiography was performed and this detected the active bleeding site.CONCLUSION:
In patients with acute intestinal bleeding, MDCT is a useful image modality to detect the bleeding site and to help decide on further management before performing angiography or surgery. When tumorous lesions are detected, invasive angiography can be omitted.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Angiography
/
Retrospective Studies
/
Hemorrhage
Type of study:
Observational study
Limits:
Humans
Language:
Korean
Journal:
Journal of the Korean Radiological Society
Year:
2006
Type:
Article
Similar
MEDLINE
...
LILACS
LIS