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The Role of CT-Angiography in the Acute Gastrointestinal Bleeding: A Pictorial Essay of Active and Obscure Findings

Gastrointestinal bleeding is a potentially life-threatening abdominal emergency that remains a common cause of hospitalisation. Although 80–85% of cases of gastrointestinal bleeding resolve spontaneously, it can result in massive haemorrhage and death. The presentation of gastrointestinal bleeding c...

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Autores principales: Di Serafino, Marco, Iacobellis, Francesca, Schillirò, Maria Laura, Dell’Aversano Orabona, Giuseppina, Martino, Alberto, Bennato, Raffaele, Borzelli, Antonio, Oliva, Gaspare, D’Errico, Chiara, Pezzullo, Filomena, Barbuto, Luigi, Ronza, Roberto, Ponticiello, Gianluca, Corvino, Fabio, Giurazza, Francesco, Lombardi, Giovanni, Niola, Raffaella, Romano, Luigia
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9606936/
https://www.ncbi.nlm.nih.gov/pubmed/36287797
http://dx.doi.org/10.3390/tomography8050198
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author Di Serafino, Marco
Iacobellis, Francesca
Schillirò, Maria Laura
Dell’Aversano Orabona, Giuseppina
Martino, Alberto
Bennato, Raffaele
Borzelli, Antonio
Oliva, Gaspare
D’Errico, Chiara
Pezzullo, Filomena
Barbuto, Luigi
Ronza, Roberto
Ponticiello, Gianluca
Corvino, Fabio
Giurazza, Francesco
Lombardi, Giovanni
Niola, Raffaella
Romano, Luigia
author_facet Di Serafino, Marco
Iacobellis, Francesca
Schillirò, Maria Laura
Dell’Aversano Orabona, Giuseppina
Martino, Alberto
Bennato, Raffaele
Borzelli, Antonio
Oliva, Gaspare
D’Errico, Chiara
Pezzullo, Filomena
Barbuto, Luigi
Ronza, Roberto
Ponticiello, Gianluca
Corvino, Fabio
Giurazza, Francesco
Lombardi, Giovanni
Niola, Raffaella
Romano, Luigia
author_sort Di Serafino, Marco
collection PubMed
description Gastrointestinal bleeding is a potentially life-threatening abdominal emergency that remains a common cause of hospitalisation. Although 80–85% of cases of gastrointestinal bleeding resolve spontaneously, it can result in massive haemorrhage and death. The presentation of gastrointestinal bleeding can range from asymptomatic or mildly ill patients requiring only conservative treatments to severely ill patients requiring immediate intervention. Identifying the source of the bleeding can be difficult due to the wide range of potential causes, the length of the gastrointestinal tract and the intermittent nature of the bleeding. The diagnostic and therapeutic approach is fully dependent on the nature of the bleeding and the patient’s haemodynamic status. Radiologists should be aware of the appropriate uses of computed tomography angiography and other imaging modalities in patients with acute gastrointestinal bleeding, as well as the semiotics of bleeding and diagnostic pitfalls in order to appropriately diagnose and manage these patients. The learning objective of this review is to illustrate the computed tomography angiography technique, including the potential role of dual-energy computed tomography angiography, also highlighting the tips and tricks to identify the most common and uncommon features of acute gastrointestinal bleeding and its obscure form.
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spelling pubmed-96069362022-10-28 The Role of CT-Angiography in the Acute Gastrointestinal Bleeding: A Pictorial Essay of Active and Obscure Findings Di Serafino, Marco Iacobellis, Francesca Schillirò, Maria Laura Dell’Aversano Orabona, Giuseppina Martino, Alberto Bennato, Raffaele Borzelli, Antonio Oliva, Gaspare D’Errico, Chiara Pezzullo, Filomena Barbuto, Luigi Ronza, Roberto Ponticiello, Gianluca Corvino, Fabio Giurazza, Francesco Lombardi, Giovanni Niola, Raffaella Romano, Luigia Tomography Review Gastrointestinal bleeding is a potentially life-threatening abdominal emergency that remains a common cause of hospitalisation. Although 80–85% of cases of gastrointestinal bleeding resolve spontaneously, it can result in massive haemorrhage and death. The presentation of gastrointestinal bleeding can range from asymptomatic or mildly ill patients requiring only conservative treatments to severely ill patients requiring immediate intervention. Identifying the source of the bleeding can be difficult due to the wide range of potential causes, the length of the gastrointestinal tract and the intermittent nature of the bleeding. The diagnostic and therapeutic approach is fully dependent on the nature of the bleeding and the patient’s haemodynamic status. Radiologists should be aware of the appropriate uses of computed tomography angiography and other imaging modalities in patients with acute gastrointestinal bleeding, as well as the semiotics of bleeding and diagnostic pitfalls in order to appropriately diagnose and manage these patients. The learning objective of this review is to illustrate the computed tomography angiography technique, including the potential role of dual-energy computed tomography angiography, also highlighting the tips and tricks to identify the most common and uncommon features of acute gastrointestinal bleeding and its obscure form. MDPI 2022-09-23 /pmc/articles/PMC9606936/ /pubmed/36287797 http://dx.doi.org/10.3390/tomography8050198 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Di Serafino, Marco
Iacobellis, Francesca
Schillirò, Maria Laura
Dell’Aversano Orabona, Giuseppina
Martino, Alberto
Bennato, Raffaele
Borzelli, Antonio
Oliva, Gaspare
D’Errico, Chiara
Pezzullo, Filomena
Barbuto, Luigi
Ronza, Roberto
Ponticiello, Gianluca
Corvino, Fabio
Giurazza, Francesco
Lombardi, Giovanni
Niola, Raffaella
Romano, Luigia
The Role of CT-Angiography in the Acute Gastrointestinal Bleeding: A Pictorial Essay of Active and Obscure Findings
title The Role of CT-Angiography in the Acute Gastrointestinal Bleeding: A Pictorial Essay of Active and Obscure Findings
title_full The Role of CT-Angiography in the Acute Gastrointestinal Bleeding: A Pictorial Essay of Active and Obscure Findings
title_fullStr The Role of CT-Angiography in the Acute Gastrointestinal Bleeding: A Pictorial Essay of Active and Obscure Findings
title_full_unstemmed The Role of CT-Angiography in the Acute Gastrointestinal Bleeding: A Pictorial Essay of Active and Obscure Findings
title_short The Role of CT-Angiography in the Acute Gastrointestinal Bleeding: A Pictorial Essay of Active and Obscure Findings
title_sort role of ct-angiography in the acute gastrointestinal bleeding: a pictorial essay of active and obscure findings
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9606936/
https://www.ncbi.nlm.nih.gov/pubmed/36287797
http://dx.doi.org/10.3390/tomography8050198
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