Abdominal Imaging - Case Report

Life-threatening gastrointestinal system bleeding in Hodgkin disease: multidetector CT findings and review of the literature

  • Erhan Akpınar
  • Barış Türkbey
  • Barbaros Erhan Çil
  • Murat Canyiğit
  • Ziya Dündar
  • Ferhun Balkancı

Received Date: 31.12.2005 Accepted Date: 19.03.2006 Diagn Interv Radiol 2007;13(2):87-89

Acute lower gastrointestinal system (GIS) bleeding is a life-threatening condition. Immediate determination of the origin of the bleeding is crucial, since hemostatic management must be initiated as rapidly as possible. Colonoscopy, radionuclide studies, and conventional angiography are considered the most important methods for assessing the origin of the bleeding. There are few published reports about the feasibility of computed tomography (CT) in acute GIS bleeding. We present multidetector CT (MDCT) findings in a case of Hodgkin disease status one month post-chemotherapy (CHOP protocol; cyclophosphamide, doxorubicin, vincristine, prednisone) that presented with acute lower GIS bleeding.

Keywords: gastrointestinal hemorrhage • multidetector computed tomography • angiography • Hodgkin disease • chemotherapy