EURORAD ESR

Case 15840

Small Bowel Arteriovenous Malformation

Author(s)
John Knopf, M.P.H.1
Maegan Kellie Garcia Lazaga, M.D.2
William Bates, M.D.3
Hoang A. Vo, M.D.4

115 Bluff Drive, Savannah, GA 31406; Email: Jknopf@augusta.edu; Ph: 912-659-6806
21120 15th St., Augusta, GA 30912; Email: mlazaga@augusta.edu; Ph: 706-721-2209; Fax: 706-721-7319
31120 15th St., Augusta, GA 30912; Email: wibates@augusta.edu; Ph: 706-721-2209; Fax: 706-721-7319
41120 15th St., Augusta, GA 30912; Email: hovo@augusta.edu; Ph: 706-721-2209; Fax: 706-721-7319
15 Bluff Drive 31406 Savannah, United States of America; Email:JKnopf@augusta.edu
 
Patient
female, 43 year(s)
 
 
  • Figure 1
    Endoscopic view of colon

    Endoscopic view demonstrating multiple blood clots in the colon

     
    Area of Interest: Abdomen; Imaging Technique: CT-Angiography; Procedure: Endoscopy; Special Focus: Dysplasias;
     
     
  • Figure 2
    Endoscopic view of colon

    Endoscopic view demonstrating large volume blood in colon

     
    Area of Interest: Colon; Imaging Technique: CT-Angiography; Procedure: Endoscopy; Special Focus: Dysplasias;
     
     
  • Figure 3
    Coronal reconstruction of CT abdomen and pelvis with IV contrast

    Coronal reconstruction of a CT abdomen and pelvis with IV contrast demonstrates jejunal mural enhancement from a feeder artery from the SMA with visualization of an early draining vein (arrow).

     
    Area of Interest: Small bowel; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Dysplasias;
     
     
  • Figure 4
    Sagittal reconstruction of CT abdomen and pelvis with IV contrast

    Sagittal reconstruction of a CT abdomen and pelvis with IV contrast demonstrates jejunal mural enhancement from a feeder artery from the SMA with visualization of an early draining vein (arrow).

     
    Area of Interest: Small bowel; Imaging Technique: CT; Procedure: Contrast agent-intravenous; Special Focus: Dysplasias;
     
     
  • Figure 5
    Selective angiography of superior mesenteric artery

    Selective angiography of the SMA demonstrates a tangled mass of arteries along the small bowel within the left lower quadrant (arrow).

     
    Area of Interest: Small bowel; Imaging Technique: Catheter arteriography; Procedure: Chemoembolisation; Special Focus: Dysplasias;
     
     
  • Figure 6
    Sub-selective angiography of a branch of the superior mesenteric artery

    Sub-selective angiography of a branch of the SMA demonstrates a mass of arteries along small bowel within the left lower quadrant with early draining vein (arrow).

     
    Area of Interest: Small bowel; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Dysplasias;
     
     
Endoscopic view demonstrating multiple blood clots in the colon
 
Endoscopic view demonstrating large volume blood in colon
 
Coronal reconstruction of a CT abdomen and pelvis with IV contrast demonstrates jejunal mural enhancement from a feeder artery from the SMA with visualization of an early draining vein (arrow).
 
Sagittal reconstruction of a CT abdomen and pelvis with IV contrast demonstrates jejunal mural enhancement from a feeder artery from the SMA with visualization of an early draining vein (arrow).
 
Selective angiography of the SMA demonstrates a tangled mass of arteries along the small bowel within the left lower quadrant (arrow).
 
Sub-selective angiography of a branch of the SMA demonstrates a mass of arteries along small bowel within the left lower quadrant with early draining vein (arrow).
 
 
 
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