Radiographic Demonstration of Unknown Sites of Gastrointestinal Bleeding
Nusbaum, M.; Baum, S.
Surgical Forum 14: 374-375
1963
ISSN/ISBN: 0071-8041 PMID: 14065652 Document Number: 9741
Of the various techniques described, only the preoperative selective arteriography of the celiac, superior mesenteric, and inferior mesenteric arteries fulfilled the criteria of simplicity, accuracy, and low morbidity. In addition to demonstrating the site of bleeding, selective arteriographv frequently showed the nature of the lesion. During the past 6 months, we have studied 2 patients with abdominal hemorrhage. One had an arterial malformation in the wall of the duodenum, and the other had an incomplete splenic rupture. Both conditions were correctly diagnosed preoperatively by the techniques of selective arteriographv. To date, we have performed 75 selective celiac and superior mesenteric arteriograms in patients for a variety of indications. Our experience has been similar to that of Odman in that the technique is simple and safe with no adverse reactions encountered, either at the femoral puncture site or the viscera. Only diatrizoate contrast agents have been used, since mesenteric necrosis has been described following the injection of other agents.
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