Transcatheter Treatment of Life-Threatening Lower Gastrointestinal Bleeding Due to Advanced Pelvic Malignancy

Journal Article · Sun Nov 15 00:00:00 EST 1998 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S002709900312· OSTI ID:21080361

Spinosa, David J; Angle, J Fritz; McGraw, J Kevin; Maurer, Eric J; Hagspiel, Klaus D; Matsumoto, Alan H ^[1]

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1. Department of Radiology, Box 170, University of Virginia Health Sciences Center, Charlottesville, VA 22908 (United States)

We present two patients with life-threatening, massive, lower gastrointestinal (GI) bleeding and locally advanced cervical carcinoma. Selective pelvic arteriography demonstrated that the site of bleeding originated from a pseudoaneurysm of the right internal iliac artery with fistulous communication to the sigmoid colon in one patient and from the left internal iliac artery into the rectum in the second patient. Transcatheter embolotherapy was then performed using balloon occlusion in one patient and coil embolization in the second patient. The iliac arteries should also be evaluated in patients with pelvic cancer who present with lower GI bleeding.

• OSTI ID: 21080361
• Journal Information: Cardiovascular and Interventional Radiology, Vol. 21, Issue 6; Other Information: DOI: 10.1007/s002709900312; Copyright (c) 1998 Springer-Verlag New York Inc; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
CARCINOMAS
PATIENTS
RECTUM
VASCULAR DISEASES