Skip to main content
SpringerLink
Log in

Acute gastrointestinal bleeding: the potential role of 64 MDCT and 3D imaging in the diagnosis

  • Pictorial Essay
  • Published:
Emergency Radiology Aims and scope Submit manuscript

Abstract

Advancements in both CT scanner technology and three-dimensional (3D) imaging software have now made it feasible to image patients with acute GI bleeding in an effort to identify the bleeding source. This pictorial essay will explore the potential role of utilizing 64 MDCT and 3D imaging in patients presenting with acute gastrointestinal bleeding. A discussion of current technology, appropriate CT protocols, and interpretation strategies will be included.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7
Fig. 8
Fig. 9

Similar content being viewed by others

References

  1. Peura DA, Lanza FL, Gostout CJ, Foutch PG (1997) The American College of Gastroenterology Bleeding Registry: preliminary findings. Am J Gastroenterol 92:924–928

    PubMed  CAS  Google Scholar 

  2. Lee EW, Laberge JM (2004) Differential diagnosis of gastrointestinal bleeding. Tech Vasc Interv Radiol 7:112–122. doi:10.1053/j.tvir.2004.12.001

    Article  PubMed  Google Scholar 

  3. Longstreth GF (1995) Epidemiology of hospitalization for acute upper gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol 90:206–210

    PubMed  CAS  Google Scholar 

  4. Laing CJ, Tobias T, Rosenblum DI, Banker WL, Tseng L, Tamarkin SW (2007) Acute gastrointestinal bleeding: emerging role of multidetector CT angiography and review of current imaging techniques. Radiographics 27:1055–1070. doi:10.1148/rg.274065095

    Article  PubMed  Google Scholar 

  5. Lim JK, Ahmed A (2004) Endoscopic approach to the treatment of gastrointestinal bleeding. Tech Vasc Interv Radiol 7:123–129. doi:10.1053/j.tvir.2004.12.002

    Article  PubMed  Google Scholar 

  6. Scheffel H, Pfammatter T, Wildi S, Bauerfeind P, Marincek B, Alkadhi H (2007) Acute gastrointestinal bleeding: detection of source and etiology with multi-detector-row CT. Eur Radiol 17:1555–1565. doi:10.1007/s00330-006-0514-9

    Article  PubMed  Google Scholar 

  7. Zink SI, Ohki SK, Stein B et al (2008) Noninvasive evaluation of active lower gastrointestinal bleeding: comparison between contrast-enhanced MDCT and 99mTc-labeled RBC scintigraphy. AJR Am J Roentgenol 191:1107–1114. doi:10.2214/AJR.07.3642

    Article  PubMed  Google Scholar 

  8. Jaeckle T, Stuber G, Hoffmann MH, Jeltsch M, Schmitz BL, Aschoff AJ (2008) Detection and localization of acute upper and lower gastrointestinal (GI) bleeding with arterial phase multi-detector row helical CT. Eur Radiol 18:1406–1413. doi:10.1007/s00330-008-0907-z

    Article  PubMed  CAS  Google Scholar 

  9. Yoon W, Jeong YY, Shin SS et al (2006) Acute massive gastrointestinal bleeding: detection and localization with arterial phase multi-detector row helical CT. Radiology 239:160–167. doi:10.1148/radiol.2383050175

    Article  PubMed  Google Scholar 

  10. Tew K, Davies RP, Jadun CK, Kew J (2004) MDCT of acute lower gastrointestinal bleeding. AJR Am J Roentgenol 182:427–430

    PubMed  Google Scholar 

  11. Ernst O, Bulois P, Saint-Drenant S, Leroy C, Paris JC, Sergent G (2003) Helical CT in acute lower gastrointestinal bleeding. Eur Radiol 13:114–117

    PubMed  Google Scholar 

  12. Kuhle WG, Sheiman RG (2003) Detection of active colonic hemorrhage with use of helical CT: findings in a swine model. Radiology 228:743–752. doi:10.1148/radiol.2283020756

    Article  PubMed  Google Scholar 

  13. Horton KM, Eng J, Fishman EK (2000) Normal enhancement of the small bowel: evaluation with spiral CT. J Comput Assist Tomogr 24:67–71. doi:10.1097/00004728-200001000-00014

    Article  PubMed  CAS  Google Scholar 

  14. Willmann JK, Roos JE, Platz A et al (2002) Multidetector CT: detection of active hemorrhage in patients with blunt abdominal trauma. AJR Am J Roentgenol 179:437–444

    PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Russell H. Morgan, Department of Radiology and Radiological Sciences, Johns Hopkins Medical Institutions, 601 N. Caroline Street/JHOC 3253, Baltimore, MD, 21287, USA

    Karen M. Horton & Elliot K. Fishman

  2. Stanford University Medical Center, 300 Pasteur Drive-H1307, Stanford, CA, 94305-5105, USA

    R. Brooke Jeffrey Jr. & Michael P. Federle

Authors
  1. Karen M. Horton
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. R. Brooke Jeffrey Jr.
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Michael P. Federle
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Elliot K. Fishman
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Karen M. Horton.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Horton, K.M., Brooke Jeffrey, R., Federle, M.P. et al. Acute gastrointestinal bleeding: the potential role of 64 MDCT and 3D imaging in the diagnosis. Emerg Radiol 16, 349–356 (2009). https://doi.org/10.1007/s10140-009-0798-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10140-009-0798-6

Keywords

Search

Navigation