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Case Reports
. 2010 Oct-Dec;16(4):302-4.
doi: 10.4103/1319-3767.70622.

Intraoperative localization of vascular malformation of small bowel by selective intra-arterial dye injection

Priya B Eshpuniyani  1 , Chetan V Kantharia, Ramkrishna Y Prabhu, Avinash N Supe
Affiliations
Case Reports

Intraoperative localization of vascular malformation of small bowel by selective intra-arterial dye injection

Priya B Eshpuniyani et al. Saudi J Gastroenterol. 2010 Oct-Dec.

Abstract

Angiomatous malformation is the most common vascular abnormality, accounting for 30-40% cases of obscure GI bleeding from small bowel. Surgical resection is the treatment of choice in severe or recurrent hemorrhage requiring multiple blood transfusions. However, the diffuse nature of the lesions poses a challenge to localize them accurately preoperatively, for exact resection. We present a case in which we have used selective mesenteric angiography with selective cannulation and exact localization of the lesion by injecting dye such as methylene blue, indigo carmine, and fluorescein, to localize the angiomatous malformation before surgical resection and also to determine the exact resection to be done.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Superior mesenteric angiography with super-selective cannulation into the feeding vessel-showing the diffuse vascular lesion
Figure 2
Figure 2
Intraoperative picture showing demarcation of small bowel after injection of methylene blue into the microcathether placed in the feeding vessel
See this image and copyright information in PMC

References

    1. Karnam US, Barkin JS. Vascular malformations of small intestine. Curr Treat Options Gastroenterol. 2001;4:173–9. - PubMed
    1. Duchini A, Godino J, Wong P, Patti M, Talavera F, Achord JL, et al. Angiodysplasia of colon. Available from: http://www.emedicine.com/med/topic134.htm [last accessed on 2008 Jul 17]
    1. Robinson MH, Hussain SA. Selective angiographic catheterisation for jejunal angiodysplasia. Postgrad Med J. 2001;77:205. - PMC - PubMed
    1. Koga H, Iida M, Nagai E, Aoyagi K, Matsumoto T, Takesue M, et al. Jejunal angiodysplasia confirmed by intravascular injection technique in vitro: Report of a case and review of the literature. J Clin Gastroenterol. 1996;23:139–44. - PubMed
    1. Mika M, Masataka N, Yasuhiro Y, Shigeyoshi I, Kazuhiko Y, Yasushi N. A case of jejunal angiodysplasia with repeating melena. J Japan Surg Assoc. 2005;66:861–5.

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