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Plain film findings in massive gastrointestinal bleeding
AJR. American Journal of Roentgenology
|March 1, 1977
Summary
A bubbly appearance on abdominal X-rays can indicate massive gastrointestinal bleeding. Recognizing this sign helps pinpoint the bleeding source in the stomach or colon.
Area of Science:
- Radiology
- Gastroenterology
- Medical Imaging
Background:
- Massive gastrointestinal bleeding presents a diagnostic challenge.
- Plain abdominal films are often the initial imaging modality.
Purpose of the Study:
- To describe a specific radiographic sign associated with gastrointestinal bleeding.
- To evaluate the utility of this sign in localizing the bleeding site.
Main Methods:
- Retrospective review of plain abdominal films in patients with massive GI bleeding.
- Identification of a "bubbly radiolucency" pattern.
- Correlation of radiographic findings with bleeding location.
Main Results:
- A bubbly radiolucency was observed in the stomach or colon.
- This sign was present in 10 patients with massive GI bleeding.
- The radiographic sign served as a clue to the bleeding site.
Conclusions:
- The admixture of blood clots and air creates a distinct radiographic appearance.
- Recognition of this "bubbly" sign on scout films can aid in identifying the bleeding vessel.
- This finding may expedite the localization of gastrointestinal bleeding sources.