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Colonic diverticular bleeding due to a rupture of an ileocolic artery pseudoaneurysm secondary to colonic diverticulitis.
- Source :
-
Clinical journal of gastroenterology [Clin J Gastroenterol] 2024 Aug; Vol. 17 (4), pp. 658-662. Date of Electronic Publication: 2024 May 14. - Publication Year :
- 2024
-
Abstract
- A 53-year-old woman with a history of recurrent right lower quadrant pain presented with slightly bloody stools in April 2023. She was initially diagnosed with acute diverticulitis using an abdominal computed tomography (CT) scan and was treated conservatively. On the second day, however, she reported significant hematochezia. A subsequent contrast-enhanced CT scan revealed an extravasation in the ascending colon, which was promptly managed with colonoscopy. Despite initial hemostasis, she experienced recurrent bleeding. Another contrast-enhanced CT scan revealed a pseudoaneurysm with ongoing extravasation in the same area. Angiography confirmed a pseudoaneurysm in a branch of the ileocolic artery, which was successfully treated by embolization. She was discharged after an 18 day hospital stay. This case highlights a pseudoaneurysm caused by diverticulitis.<br /> (© 2024. Japanese Society of Gastroenterology.)
- Subjects :
- Humans
Female
Middle Aged
Tomography, X-Ray Computed
Aneurysm, Ruptured complications
Aneurysm, Ruptured diagnostic imaging
Ileum blood supply
Ileum diagnostic imaging
Colonoscopy
Colon blood supply
Colon diagnostic imaging
Aneurysm, False diagnostic imaging
Aneurysm, False complications
Aneurysm, False etiology
Aneurysm, False therapy
Gastrointestinal Hemorrhage etiology
Gastrointestinal Hemorrhage diagnostic imaging
Embolization, Therapeutic methods
Diverticulitis, Colonic complications
Diverticulitis, Colonic diagnostic imaging
Subjects
Details
- Language :
- English
- ISSN :
- 1865-7265
- Volume :
- 17
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Clinical journal of gastroenterology
- Publication Type :
- Academic Journal
- Accession number :
- 38743169
- Full Text :
- https://doi.org/10.1007/s12328-024-01980-5