|Patient: 56 year old female|
56-year-old woman who presents with weight loss and bloody diarrhea.
Following intravenous administration of Tc-99m labeled red cell, sequential abdominal images were obtained through 60 minutes. There is a focus of increased activity that is seen in the left upper quadrant on the 5 minute image. The activity persists and travels anterograde into loops of small bowel during the remainder of the imaging period. This is most likely in the proximal portion of the jejunum.
|Diagnosis: Proximal portion of the jejunum bleeding|
General Discussion: |
Long history: 56-year-old woman who presents with weight loss and bloody diarrhea. She had recurrent intermittent lower gastrointestinal bleeding. The patient is transferred from an outside hospital for decreased HCT. The HCT was 17% during the first few days of the admission and she required numerous tranfusions and two separate ICU stays during admission. Evaluate for bleeding source.
Follow up: Small bowel enteroscopy shows an oozing linear jejunal ulcer with a visible vessel in the proximal jejunum.
1.Gastroenterology; Volume 118, Issue 1, January 2000, Pages 201-221
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Case Number: 98003Owner(s): Keith Fischer and Xiaoni HongLast Updated: 12-15-2010 The reader is fully responsible for confirming the accuracy of this content.
The reader is fully responsible for confirming the accuracy of this content.