EURORAD ESR

Case 15225

Bleeding enterocutaneous fistula in Crohn’s disease

Author(s)
Kaiser Hussain, MD, Prem Thanaratnam, MD, Bertrand Janne d'Othée, MD, MPH, MBA

Baystate Health, Interventional Radiology; 759 Chestnut Street, C3189, Springfield, MA 01199, United States of America. Email:bjanne@post.harvard.edu
 
Patient
female, 41 year(s)
 
 
  • Figure 1
    Axial CT scan slice (non-contrast).

    Precontrast CT angiogram (CTA) of the abdomen and pelvis.

     
    Area of Interest: Abdominal wall; Vascular; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Fistula; Haemorrhage;
     
     
  • Figure 2
    Axial CT scan slice (post IV contrast, portal venous phase).

    Postcontrast delayed CTA

     
    Area of Interest: Abdominal wall; Vascular; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Fistula; Haemorrhage;
     
     
  • Figure 3
    Selective arteriogram of the right gastroepiploic artery (pre-embolization).

    Selective arteriogram of the right gastroepiploic (from a left brachial artery approach)

     
    Area of Interest: Abdominal wall; Vascular; Imaging Technique: Catheter arteriography; Procedure: Diagnostic procedure; Special Focus: Fistula; Haemorrhage;
     
     
  • Figure 4
    Selective arteriogram of the right gastroepiploic artery (post-coil embolization).

    Repeat angiogram after embolotherapy

     
    Area of Interest: Abdominal wall; Vascular; Imaging Technique: Catheter arteriography; Procedure: Embolisation; Special Focus: Fistula; Haemorrhage;
     
     
Precontrast CT angiogram (CTA) of the abdomen and pelvis.
 
Postcontrast delayed CTA
 
Selective arteriogram of the right gastroepiploic (from a left brachial artery approach)
 
Repeat angiogram after embolotherapy
 
 
 
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