Wk 5, Case 2 - Review

PATIENT HISTORY: Bright red blood per rectum

CTA ABDOMEN PELVIS WITH AND WITHOUT IV CONTRAST

INDICATION: GI bleed.

COMPARISON: None,

TECHNIQUE: A CTA of the abdomen and pelvis was performed with and without intravenous contrast. Coronal MIPS are provided for interpretation.


FINDINGS:

Lung bases: Mild bibasilar atelectasis.

Hepatobiliary: Unremarkable.

Pancreas: Unremarkable.

Spleen: Unremarkable.

Adrenal glands: Unremarkable.

Kidneys: Right renal cysts are noted with a larger cyst demonstrating peripheral calcifications.

Bowel: There is active extravasation of intravenous contrast in the rectum. This is seen on the arterial phase images and disperses on the delayed phase images. These findings are compatible with an active GI bleed.

Lymph nodes: No lymphadenopathy.

Peritoneum: No ascites.

Pelvis: No mass.

Vasculature: No abdominal aortic aneurysm.

Musculoskeletal system and soft tissue: No aggressive osseous lesion. Fat-containing inguinal hernias are noted bilaterally. Small fat-containing umbilical hernia also noted.


IMPRESSION:

Active rectal bleeding as described.