Electronic Clinical Challenges and Images in GI

An Unusual Case of Acute Intestinal Hemorrhage

Answer to the Clinical Challenges and Images in GI Question: Image 5: Arterial Bleeding From a Jejunal Diverticulum

The patient was transferred to the interventional radiology department for mesenteric angiography. Severe mesenteric vasoconstriction was observed due to hypovolemic shock (Figure C). Angiography revealed extravasation from a straight jejunal artery (Figure C). Selective microcatheterization of the involved vas rectum was performed (Figure D). Embolization with microcoils resulted in occlusion of the ruptured vas rectum and hemostasis (Figure E). Postprocedural transfer to the intensive care