This Article Abstract Full Text Full Text (PDF) Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by Liu, K-L Articles by Lin, M-T Search for Related Content PubMed PubMed Citation Articles by Liu, K-L Articles by Lin, M-T

Pre-operative localization and embolization for jejunal arteriovenous malformation with massive haemorrhage

¹ Departments of Medical Imaging, ² Emergency Medicine, ³ Surgery, National Taiwan University Hospital and College of Medicine, National Taiwan University, Taipei, Taiwan

View larger version (72K): [in this window] [in a new window]   Figure 1. A 20-year-old young man presented with acute and massive haemorrhage with bloody stool. (a) The superior mesenteric angiogram shows an aneurysmal dilation (arrow) at the right upper abdomen from the jejunal branch. The bowels are distended and the jejunum is rotated to the right upper abdomen. (b) A 1.7-French microcatheter (arrow) is inserted into the distal end of the feeding artery. The bleeder is opacified by the contrast medium. (c) After embolization, the 40% glue solution (Histoacryl–Lipiodol) is retained and confined in the bleeder (arrow). (d) An immediate post-transcutaneous arterial embolization non-enhanced CT scan was performed to exclude the possible etiology of tumour bleeding. There is a dense radiopaque density (arrow) in the jejunum due to glue accumulation, but no definite tumour mass around the glue can be identified. (e) A vascular malformation (arrow) is noted at the submucosal layer with protrusion intraluminally (x10, H&E stain). No evidence of a tumour can be identified.