pISSN 2636-0004eISSN 2636-0012
pISSN 2636-0004Summary of the Clinical Case through Three Admissions
| Presentation and diagnostic facilities | First admission | Second admission | Third admission |
|---|---|---|---|
| Gastroenteritis symptoms | Yes, before hematochezia | No | No |
| CTA | Hyperdense material in the rectum | Active extravasation in the right lower quadrant | Hyperdense material in the hypogastric small intestine |
| VCE | - | - | An active bleeding polypoid lesion in the jejunum |
| Endoscopy | Bi-directional with no bleeding focus | Bi-directional with no bleeding focus | Push enteroscopy without identifying bleeding focus |
| Angiography | No active bleeding focus | Active bleeding from a branch of the SMA | Fluoroscopy-assisted with coils |
| Intervention | Self-limited | Coil embolization | Laparoscopic surgery and IOE |
CTA, computed tomographic angiography; VCE, video capsule endoscopy; SMA, superior mesenteric artery; IOE, intraoperative enteroscopy; -, not performed.