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A Case of Small Bowel Arteriovenous Malformation Diagnosed Using Multiphase CT Angiography and Digital Subtraction Angiography

Small bowel arteriovenous malformation (AVM) is a rare vascular lesion, which should be considered in patients presenting with gastrointestinal bleeding, as it is a high-flow arterial lesion that can cause life-threatening bleeding. Although a primary endoscopic examination is performed in cases of...

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Autores principales: Okamoto, Soichiro, Matsui, Yusuke, Sakae, Hiroyuki, Oshima, Keiichiro, Hiraki, Takao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Cureus 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461457/
https://www.ncbi.nlm.nih.gov/pubmed/37644925
http://dx.doi.org/10.7759/cureus.42644
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author Okamoto, Soichiro
Matsui, Yusuke
Sakae, Hiroyuki
Oshima, Keiichiro
Hiraki, Takao
author_facet Okamoto, Soichiro
Matsui, Yusuke
Sakae, Hiroyuki
Oshima, Keiichiro
Hiraki, Takao
author_sort Okamoto, Soichiro
collection PubMed
description Small bowel arteriovenous malformation (AVM) is a rare vascular lesion, which should be considered in patients presenting with gastrointestinal bleeding, as it is a high-flow arterial lesion that can cause life-threatening bleeding. Although a primary endoscopic examination is performed in cases of suspected small bowel bleeding, the diagnosis of the causal lesion is sometimes difficult. We are presenting a case of small bowel AVM that could not be diagnosed endoscopically but was successfully detected using multiphase CT images with an appropriate protocol. The AVM diagnosis was confirmed using digital subtraction angiography. An endovascular coil is placed in the draining vein as a surgical resection marker. The AVM was resected successfully without any complications.
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spelling pubmed-104614572023-08-29 A Case of Small Bowel Arteriovenous Malformation Diagnosed Using Multiphase CT Angiography and Digital Subtraction Angiography Okamoto, Soichiro Matsui, Yusuke Sakae, Hiroyuki Oshima, Keiichiro Hiraki, Takao Cureus Radiology Small bowel arteriovenous malformation (AVM) is a rare vascular lesion, which should be considered in patients presenting with gastrointestinal bleeding, as it is a high-flow arterial lesion that can cause life-threatening bleeding. Although a primary endoscopic examination is performed in cases of suspected small bowel bleeding, the diagnosis of the causal lesion is sometimes difficult. We are presenting a case of small bowel AVM that could not be diagnosed endoscopically but was successfully detected using multiphase CT images with an appropriate protocol. The AVM diagnosis was confirmed using digital subtraction angiography. An endovascular coil is placed in the draining vein as a surgical resection marker. The AVM was resected successfully without any complications. Cureus 2023-07-29 /pmc/articles/PMC10461457/ /pubmed/37644925 http://dx.doi.org/10.7759/cureus.42644 Text en Copyright © 2023, Okamoto et al. https://creativecommons.org/licenses/by/3.0/This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
spellingShingle Radiology
Okamoto, Soichiro
Matsui, Yusuke
Sakae, Hiroyuki
Oshima, Keiichiro
Hiraki, Takao
A Case of Small Bowel Arteriovenous Malformation Diagnosed Using Multiphase CT Angiography and Digital Subtraction Angiography
title A Case of Small Bowel Arteriovenous Malformation Diagnosed Using Multiphase CT Angiography and Digital Subtraction Angiography
title_full A Case of Small Bowel Arteriovenous Malformation Diagnosed Using Multiphase CT Angiography and Digital Subtraction Angiography
title_fullStr A Case of Small Bowel Arteriovenous Malformation Diagnosed Using Multiphase CT Angiography and Digital Subtraction Angiography
title_full_unstemmed A Case of Small Bowel Arteriovenous Malformation Diagnosed Using Multiphase CT Angiography and Digital Subtraction Angiography
title_short A Case of Small Bowel Arteriovenous Malformation Diagnosed Using Multiphase CT Angiography and Digital Subtraction Angiography
title_sort case of small bowel arteriovenous malformation diagnosed using multiphase ct angiography and digital subtraction angiography
topic Radiology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10461457/
https://www.ncbi.nlm.nih.gov/pubmed/37644925
http://dx.doi.org/10.7759/cureus.42644
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