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Obscure Gastrointestinal Bleeding: Preoperative CT-guided Percutaneous Needle Localization of the Bleeding Small Bowel Segment

Heiss, Peter ; Feuerbach, Stefan ; Iesalnieks, Igors ; Rockmann, Felix ; Wrede, Christian E. ; Zorger, Niels ; Schlitt, Hans J. ; Schölmerich, Jürgen ; Hamer, Okka W.



Abstract

A 57-year-old woman presented with obscure gastrointestinal bleeding. Double balloon enteroscopy, angiography, and surgery including intraoperative enteroscopy failed to identify the bleeding site. Multidetector computed tomography (CT) depicted active bleeding of a small bowel segment. The bleeding segment was localized by CT-guided percutaneous needle insertion and subsequently removed surgically.


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