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Colonic diverticular bleeding: precise localization and successful management by a combination of CT angiography and

Kazuoki Hizawa1, Nobutoshi Miura, Takayuki Matsumoto

  • 1Department of Gastroenterology, Kyushu Central Hospital, 3-23-1 Shiobaru, Minami-ku, Fukuoka 815-8588, Japan. hiza@kyushu-ctr-hsp.com

Abdominal Imaging
|October 25, 2008
PubMed

Insights

This case study highlights a challenging severe colonic diverticular bleeding case. Precise CT localization after superior mesenteric arteriography enabled successful superselective arterial embolization.

Area of Science:

  • Gastroenterology
  • Interventional Radiology

Background:

  • Severe colonic diverticular bleeding can be life-threatening and difficult to manage.
  • Recurrent bleeding necessitates effective diagnostic and therapeutic strategies.

Observation:

  • A 50-year-old male presented with relapsing severe colonic diverticular bleeding requiring 14 units of blood transfusion.
  • Initial diagnostic modalities including CT, colonoscopy, and angiography failed to identify the bleeding source.

Findings:

  • Superselective arterial embolization was successfully performed.
  • Precise localization of the bleeding site was achieved using CT immediately following superior mesenteric arteriography.

Implications:

  • This case demonstrates the utility of advanced imaging techniques for managing obscure gastrointestinal bleeding.
  • Accurate localization is crucial for successful endovascular intervention in severe diverticular hemorrhage.

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