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European Radiology
Published in: European Radiology 7/2008

01-07-2008 | Gastrointestinal

Detection and localization of acute upper and lower gastrointestinal (GI) bleeding with arterial phase multi-detector row helical CT

Authors: T. Jaeckle, G. Stuber, M. H. K. Hoffmann, M. Jeltsch, B. L. Schmitz, A. J. Aschoff

Published in: European Radiology | Issue 7/2008

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Abstract

The purpose of this study was to evaluate the accuracy of multi-detector row helical CT (MDCT) for detection and localization of acute upper and lower gastrointestinal (GI) hemorrhage or intraperitoneal bleeding. Thirty-six consecutive patients with clinical signs of acute bleeding underwent biphasic (16- or 40-channel) MDCT. MDCT findings were correlated with endoscopy, angiography or surgery. Among the 36 patients evaluated, 26 were examined for GI bleeding and 10 for intraperitoneal hemorrhage. Confirmed sites of GI bleeding were the stomach (n = 5), duodenum (n = 5), small bowel (n = 6), large bowel (n = 8) and rectum (n = 2). The correct site of bleeding was identifiable on MDCT in 24/26 patients with GI bleeding. In 20 of these 24 patients, active CM extravasation was apparent during the exam. Among the ten patients with intraperitoneal hemorrhage, MDCT correctly identified the bleeding source in nine patients. Our findings suggest that fast and accurate localization of acute gastrointestinal and intraperitoneal bleeding is achievable on MDCT.
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Metadata
Title
Detection and localization of acute upper and lower gastrointestinal (GI) bleeding with arterial phase multi-detector row helical CT
Authors
T. Jaeckle
G. Stuber
M. H. K. Hoffmann
M. Jeltsch
B. L. Schmitz
A. J. Aschoff
Publication date
01-07-2008
Publisher
Springer-Verlag
Published in
European Radiology / Issue 7/2008
Print ISSN: 0938-7994
Electronic ISSN: 1432-1084
DOI
https://doi.org/10.1007/s00330-008-0907-z

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