Bleeding diverticulum of the colon treated with CT-guided percutaneous injection of epinephrine and cyanoacrylate

Spencer B. Lewis, BS; Mamdouh Khayat, MD; Rajiv Srinivasa, MD; Jeffrey F.B. Chick, MD, MPH, DABR; Joseph J. Gemmete, MD, FSIR; Ravi N. Srinivasa, MD

Radiology Case Reports (Jun 2018)

Bleeding diverticulum of the colon treated with CT-guided percutaneous injection of epinephrine and cyanoacrylate

Spencer B. Lewis, BS,
Mamdouh Khayat, MD,
Rajiv Srinivasa, MD,
Jeffrey F.B. Chick, MD, MPH, DABR,
Joseph J. Gemmete, MD, FSIR,
Ravi N. Srinivasa, MD

Affiliations

Spencer B. Lewis, BS: Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA
Mamdouh Khayat, MD: Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA
Rajiv Srinivasa, MD: Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA
Jeffrey F.B. Chick, MD, MPH, DABR: Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA
Joseph J. Gemmete, MD, FSIR: Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA
Ravi N. Srinivasa, MD: Corresponding author.; Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health Systems, 1500 East Medical Center Drive, Ann Arbor, MI 48109, USA

Journal volume & issue: Vol. 13, no. 3
pp. 596 – 598

Abstract

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Hematochezia may be a result of anatomic, vascular, inflammatory, infectious, or neoplastic diseases. Colonoscopic evaluation and therapy may be limited because of intermittent bleeding in the setting of numerous diverticula. This report describes a patient with diverticulosis who presented with hematochezia and hemodynamic instability with failed colonoscopic and arteriographic evaluations, and was treated with percutaneous transcolonic diverticular cyanoacrylate and epinephrine injection. Keywords: Percutaneous injection cyanoacrylate, Epinephrine, Diverticular hemorrhage

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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