MDCT of Acute Lower Gastrointestinal Bleeding
Khimseng Tew1,
Roger P. Davies1,2,
Changez K. Jadun1,3 and
Jacqueline Kew1
1 Department of Radiology, North Western Adelaide Health Service, The Queen
Elizabeth Hospital Campus, Adelaide, South Australia 5011, Australia.
2 Present address: Department of Imaging, Mid Western Area Health Service, OBH,
Dalton St., Orange, New South Wales 2800, Australia.
3 Present address: Department of Neuroradiology, Vancouver General Hospital,
Vancouver, BC V5Z1P4, Canada.

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Fig. 1A. 83-year-old woman who presented with hematochezia.
Contrast-enhanced arterial phase axial MDCT scan shows intraluminal contrast
material extravasation (arrow) in ileum. Normal mucosal enhancement
(arrowheads) is also shown.
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Fig. 1B. 83-year-old woman who presented with hematochezia. Selective
arteriogram of ileocecal branches shows acute contrast material extravasation
(arrow) corresponding to hemorrhage shown on MDCT scan
(A).
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Fig. 2. In 69-year-old man who presented with hematochezia due to
bleeding diverticulum, IV contrastenhanced arterial phase axial MDCT
scan shows intraluminal contrast material extravasation (arrows) in
hepatic flexure.
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Fig. 3. MDCT scan obtained in 71-year-old woman with hematochezia
from bleeding sigmoid diverticulum shows extravasated contrast material
(arrow) flowing into lumen.
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Fig. 4. Unenhanced MDCT scan obtained in 64-year-old man shows
hyperdense suture material (arrows) as possible mimic of contrast
material extravasation. Continuity and homogeneity of density allow
differentiation of bleeding from contrast material extravasation.
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Copyright © 2004 by the American Roentgen Ray Society.