Skip to main content

Advertisement

SpringerLink
Log in

Pitfalls in detection of acute gastrointestinal bleeding with multi-detector row helical CT

  • Published:
Abdominal Imaging Aims and scope Submit manuscript

Abstract

Contrast-enhanced multi-detector row helical CT angiography is establishing itself as an accurate, rapid, and non-invasive diagnostic modality in patients with acute gastrointestinal bleeding. On arterial phase MDCT images ongoing hemorrhage can be revealed as an area of active extravasation of contrast material within the bowel lumen. This pictorial essay gives a short overview of current diagnostic modalities in assessing acute GI tract bleeding, typical MDCT findings, and depicts potential pitfalls in the detection of acute GI bleeding with MDCT.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1 
Fig. 2 
Fig. 3 
Fig. 4 
Fig. 5 
Fig. 6 
Fig. 7 

Similar content being viewed by others

References

  1. Longstreth GF (1997) Epidemiology and outcome of patients hospitalized with acute lower gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol 92:419–424

    PubMed  CAS  Google Scholar 

  2. Walsh RM, Anain P, Geisinger M, et al. (1999) Role of angiography and embolization for massive gastroduodenal hemorrhage. J Gastrointest Surg 3:61–65

    Article  PubMed  CAS  Google Scholar 

  3. Strate LL (2005) Lower GI bleeding: epidemiology and diagnosis. Gastroenterol Clin North Am 34:643–664

    Article  PubMed  Google Scholar 

  4. Abbas SM, Bissett IP, Holden A, et al. (2005) Clinical variables associated with positive angiographic localization of lower gastrointestinal bleeding. ANZ J Surg 75:953–957

    Article  PubMed  Google Scholar 

  5. Zuckerman GR, Prakash C (1998) Acute lower intestinal bleeding: part I: clinical presentation and diagnosis. Gastrointest Endosc 48:606–617

    Article  PubMed  CAS  Google Scholar 

  6. Zuckerman GR, Prakash C (1999) Acute lower intestinal bleeding. Part II: etiology, therapy, and outcomes. Gastrointest Endosc 49:228–238

    Article  PubMed  CAS  Google Scholar 

  7. Chen RY, Taylor AC, Desmond PV (2002) Push enteroscopy: a single centre experience and review of published series. ANZ J Surg 72:215–218

    Article  PubMed  Google Scholar 

  8. Huprich JE, Fletcher JG, Alexander JA, et al. (2008) Obscure gastrointestinal bleeding: evaluation with 64-section multiphase CT enterography—initial experience. Radiology 24:562–571

    Article  Google Scholar 

  9. Lewis BS, Eisen GM, Friedman S (2005) A pooled analysis to evaluate results of capsule endoscopy trials. Endoscopy 37:960–965

    Article  PubMed  CAS  Google Scholar 

  10. Willmann JK, Roos JE, Platz A, et al. (2002) Multidetector CT: detection of active hemorrhage in patients with blunt abdominal trauma. AJR Am J Roentgenol 179:437–444

    PubMed  Google Scholar 

  11. Yoon W, Jeong YY, Shin SS, et al. (2006) Acute massive gastrointestinal bleeding: detection and localization with arterial phase multi-detector row helical CT. Radiology 239:160–167

    Article  PubMed  Google Scholar 

  12. Jaeckle T, Stuber G, Hoffmann MH et al. (2008) Acute gastrointestinal bleeding: value of MDCT. Abdom Imaging 33:285–293

    Article  PubMed  CAS  Google Scholar 

  13. Scheffel H, Pfammatter T, Wildi S, et al. (2007) Acute gastrointestinal bleeding: detection of source and etiology with multi-detector-row CT. Eur Radiol 17:1555–1565

    Article  PubMed  Google Scholar 

  14. Jaeckle T, Stuber G, Hoffmann MH, et al. (2008) Detection and localization of acute upper and lower gastrointestinal (GI) bleeding with arterial phase multi-detector row helical CT. Eur Radiol Mar 20; [Epub ahead of print]

  15. Saperas E, Dot J, Videla S, et al. (2007) Capsule endoscopy versus computed tomographic or standard angiography for the diagnosis of obscure gastrointestinal bleeding. Am J Gastroenterol 102:731–737

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Diagnostic and Interventional Radiology, University Hospitals of Ulm, Steinhövelstrasse 9, 89075, Ulm, Germany

    T. Stuber, M. H. K. Hoffmann, G. Stuber, O. Klass, S. Feuerlein & A. J. Aschoff

Authors
  1. T. Stuber
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. M. H. K. Hoffmann
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. G. Stuber
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. O. Klass
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. S. Feuerlein
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. A. J. Aschoff
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to T. Stuber.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Stuber, T., Hoffmann, M.H.K., Stuber, G. et al. Pitfalls in detection of acute gastrointestinal bleeding with multi-detector row helical CT. Abdom Imaging 34, 476–482 (2009). https://doi.org/10.1007/s00261-008-9437-z

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00261-008-9437-z

Keywords

Search

Navigation