RESUMO
Lower gastro-intestinal bleeding (LGIB) is defined as a bleeding site localised in the colon or anorectum. (1) In the past, the diagnosis of LGIB has been a serious challenge for the radiology department because of its possible intermittent character, making it difficult to pinpoint the bleeding site. Patients with a LGIB will typically have undergone a long diagnostic work-up before they end up on the interventional radiology department. The development of multi-detector computed tomography (CT) has made radiological diagnosis of LGIB easier. CT is not only able to localize the active bleeding site but may also demonstrate the vascular anatomy and the underlying cause, hereby directing further management and guiding therapeutic interventions, as will be illustrated in both of our cases.
Assuntos
Angiografia/métodos , Hemorragia Gastrointestinal/diagnóstico por imagem , Tomografia Computadorizada por Raios X , Idoso , Diagnóstico Diferencial , Feminino , Hemorragia Gastrointestinal/terapia , Humanos , Iohexol/análogos & derivados , Ácido Ioxáglico , Masculino , Pessoa de Meia-IdadeAssuntos
Angiografia Coronária , Cálices Renais/diagnóstico por imagem , Nefropatias/diagnóstico por imagem , Adulto , Antibacterianos/uso terapêutico , Meios de Contraste/administração & dosagem , Diurese , Extravasamento de Materiais Terapêuticos e Diagnósticos/diagnóstico por imagem , Seguimentos , Humanos , Iopamidol/administração & dosagem , Iopamidol/análogos & derivados , Nefropatias/terapia , Masculino , Ruptura Espontânea , Tomografia Computadorizada por Raios X/métodos , Cateterismo UrinárioRESUMO
We report on a case of recurrent superior mesenteric artery (SMA) stenosis with symptomatic mesenteric angina after SMA angioplasty. Stent placement of postostial atherosclerotic disease was proposed, with successful result. Moderate aortic protrusion was noted. Feasibility of PTA and stenting of mesenteric stenoses become increasingly obvious, but long term follow-up studies still have to provide sufficient results on clinical outcome and possible complications.