Home » AGEB Journal » Issues » Volume 86" » Fasc.2 - Clinical images » Article details

Obscure digestive bleeding

Journal Volume 86 - 2023
Issue Fasc.2 - Clinical images
Author(s) L. Hurtado-Pardo 1, M. Bruna Esteban 1, J.C. González López 2, F. Mingol-Navarro 1, J. Vaqué Urbaneja 1
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Full Article
PAGES 382-382
(1) Digestive Surgery Unit, University and Polytechnic La Fe Hospital, Valencia, Spain
(2) Patological Anatomy Unit, University and Polytechnic La Fe Hospital, Valencia, Spain

A 50-year-old woman presented to the emergency department with several episodes of melena in the last week. The patient was not hemodynamically compromised and was conservatively managed. Urgent upper gastrointestinal endoscopy and colonoscopy showed no source of bleeding. Abdominal CT demonstrated three mural nodular lesions up to 2cm in the mid jejunum with hypervascular characteristics in arterial phase without active bleeding in venous phase. Angiography (Figure 1A) revealed three tumours with neo-angiogenesis and no active bleeding. Each lesion was stained with methylene blue and followed by embolization with coils. Exploratory laparotomy (Figure 1B) showed the three nodules marked by angiography. Intestinal resection of the affected segment was performed. Histopathological study proved the diagnosis of suspicion (Figure 2).

The authors declare that they have no conflict of interest.
© Acta Gastro-Enterologica Belgica.
PMID 37428177