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Undetected Site Localized by Selective Arteriography

GEORGE ANNES, MD; LAWRENCE H. CAPLAN, MD; HENRY HEIMLICH, MD

AMA Arch Surg. 1967;94(1):44-45.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

SELECTIVE arteriography has been successfully used in the preoperative localization of gastrointestinal bleeding when conventional diagnostic modalities have failed.¹ The following report emphasizes the value of this technique in a patient with uncontrollable upper gastrointestinal hemorrhage in whom neither a barium meal examination nor a subsequent laparotomy had established the site of bleeding.

Report of Case

A previously asymptomatic 55-year-old white woman was transferred to Montefiore Hospital with a ten-day history of vomiting coffee ground material, massive tarry stools, and a dropping hematocrit reading. Because of persistent severe gastrointestinal bleeding, the patient had been operated on at another hospital despite a negative gastrointestinal series. At laparotomy, blood was found from the midjejunum, distally, but no blood was found in the stomach or duodenum. The stomach and duodenum were opened widely, no bleeding point could be identified, and a pyloroplasty was done. The patient's hematocrit reading following postoperative transfusions rose . . . [Full Text PDF of this Article]

Author Affiliations
BRONX, NY

From the divisions of diagnostic radiology and surgery, Montefiore Hospital and Medical Center, Bronx.

Footnotes
Submitted for publication July 22, 1966.

Reprint requests to Montefiore Hospital and Medical Center, 111 E 210th St, Bronx, NY 10467 (Dr. Caplan).

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