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Microangiographic Findings of Massive Intestinal Bleeding in a Patient with Crohn's Disease: A Case Report

Hitoshi Asakura

From the Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan

Toshikazu Takagi

From the Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan

Kensuke Kobayashi

From the Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan

Sadakazu Aiso

From the Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan

Toshifumi Hibi

From the Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan

Yoshinori Sugino

From the Department of Diagnostic Radiology, School of Medicine, Keio University, Tokyo, Japan

Kyoichi Hiramatsu

From the Department of Diagnostic Radiology, School of Medicine, Keio University, Tokyo, Japan

Tatsuo Teramoto

From the Department of Surgery, School of Medicine, Keio University, Tokyo, Japan

Masaharu Tsuchiya

From the Department of Internal Medicine, School of Medicine, Keio University, Tokyo, Japan

A 16 year old man with complaints of abdominal pain, diarrhea, high fever and loss of body weight was made a diagnosis of Crohn's disease. During the administration, he had intestinal obstruction and several episodes of massive intestinal bleeding. Selective angiography of the superior mesenteric artery demonstrated the bleeding site in the ileum. Microangiography of the surgical specimens revealed abrupt interruptions of arteriae rectae in the submucosa indicating the bleeding site from the diseased intestine.

Angiology, Vol. 36, No. 11, 802-808 (1985)
DOI: 10.1177/000331978503601107
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