Computed Tomography-Guided Diagnosis of Massive Cystojejunal Bleeding

Acute gastrointestinal bleeding is a serious emergency condition which, without prompt and accurate diagnosis, can lead to severe hemorrhagic shock and death. The initial diagnosis relies on a clinical assessment of the bleeding site. If symptoms such as hematemesis and melena are present, an esophagogastroduodenoscopy (EGD) is typically the first diagnostic procedure. In cases of massive rectal bleeding, a computed tomography scan with angiography (CTA) is often used to identify the source and cause of the bleeding. Multiphasic CTA is the definitive first-line diagnostic standard, enabling prompt diagnosis and crucial pre-procedural planning for endovascular management in massive cystojejunal bleeding.

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Publication Details

Journal
Diagnostics
Published
2026-09-29
DOI
https://doi.org/10.3390/diagnostics16193168
Primary Topic
Gastrointestinal Bleeding Diagnosis and Treatment
Type
article
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Computed Tomography-Guided Diagnosis of Massive Cystojejunal Bleeding

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Computed Tomography-Guided Diagnosis of Massive Cystojejunal Bleeding

Ksenija Mijović, Bojana Mišković, Jelica Vukmirović, Dragan Vasin, Danijela Sekulic, Aleksandra Pavić, Goran Vuković, Tijana Tomić, Aleksandar D. Pavlovic, Miona Jevtovic
article en

Abstract

Acute gastrointestinal bleeding is a serious emergency condition which, without prompt and accurate diagnosis, can lead to severe hemorrhagic shock and death. The initial diagnosis relies on a clinical assessment of the bleeding site. If symptoms such as hematemesis and melena are present, an esophagogastroduodenoscopy (EGD) is typically the first diagnostic procedure. In cases of massive rectal bleeding, a computed tomography scan with angiography (CTA) is often used to identify the source and cause of the bleeding. Multiphasic CTA is the definitive first-line diagnostic standard, enabling prompt diagnosis and crucial pre-procedural planning for endovascular management in massive cystojejunal bleeding.

DiagnosticsVol. 16(19)
University of Belgrade (RS), Center for Health, Exercise and Sport Sciences (RS), Centar za Promociju Nauke (RS), Univerzitetski Klinički Centar Srbije (RS)
Good health and well-being
Openalex Percentile: Top 10%
Gastrointestinal Bleeding Diagnosis and Treatment
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