Differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy CT

We present the case of a 24-year-old woman who presented to the emergency department with mid-epigastric pain and nausea. Contrast enhanced dual-energy CT showed high iodine signal in the small bowel lumen concerning for gastrointestinal bleeding since oral contrast was not given. However, overt ble...

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Detalles Bibliográficos
Autores principales: Soesbe, Todd C., Ananthakrishnan, Lakshmi, Lewis, Matthew A.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8493504/
https://www.ncbi.nlm.nih.gov/pubmed/34630796
http://dx.doi.org/10.1016/j.radcr.2021.08.071
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author Soesbe, Todd C.
Ananthakrishnan, Lakshmi
Lewis, Matthew A.
author_facet Soesbe, Todd C.
Ananthakrishnan, Lakshmi
Lewis, Matthew A.
author_sort Soesbe, Todd C.
collection PubMed
description We present the case of a 24-year-old woman who presented to the emergency department with mid-epigastric pain and nausea. Contrast enhanced dual-energy CT showed high iodine signal in the small bowel lumen concerning for gastrointestinal bleeding since oral contrast was not given. However, overt bleeding symptoms were absent. Further in-house analysis of the dual-energy CT data revealed the hyperattenuating intraluminal material to be oral indigestion medicine containing magnesium, aluminum, or bismuth, and not extravasated iodine.
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spelling pubmed-84935042021-10-08 Differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy CT Soesbe, Todd C. Ananthakrishnan, Lakshmi Lewis, Matthew A. Radiol Case Rep Case Report We present the case of a 24-year-old woman who presented to the emergency department with mid-epigastric pain and nausea. Contrast enhanced dual-energy CT showed high iodine signal in the small bowel lumen concerning for gastrointestinal bleeding since oral contrast was not given. However, overt bleeding symptoms were absent. Further in-house analysis of the dual-energy CT data revealed the hyperattenuating intraluminal material to be oral indigestion medicine containing magnesium, aluminum, or bismuth, and not extravasated iodine. Elsevier 2021-10-02 /pmc/articles/PMC8493504/ /pubmed/34630796 http://dx.doi.org/10.1016/j.radcr.2021.08.071 Text en © 2021 The Authors. Published by Elsevier Inc. on behalf of University of Washington. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Soesbe, Todd C.
Ananthakrishnan, Lakshmi
Lewis, Matthew A.
Differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy CT
title Differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy CT
title_full Differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy CT
title_fullStr Differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy CT
title_full_unstemmed Differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy CT
title_short Differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy CT
title_sort differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy ct
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8493504/
https://www.ncbi.nlm.nih.gov/pubmed/34630796
http://dx.doi.org/10.1016/j.radcr.2021.08.071
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