術前TAEのコイルが術中出血点同定に有効であった小腸出血の1例

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  • Preoperative TAE Using Metalic Coil is Useful in Detecting the Bleeding Point from the Small Intestine during Surgery.

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We report a case of bleeding from an arteriovenous malformation of the terminal ileum. A 69-year-old man who underwent mitral valve replacement surgery for mitral stenosis and aortic stenosis suddenly experienced anal bleeding on postoperative day (POD) 61. We diagnosed extravasation from the arteriovenous malformations (AVM) of the terminal ileum by angiography. Transcatheter arterial embolization (TAE) using a tornado coil was undertaken and surgery conducted 7 days later. During surgery, we easily found the coil that revealed the bleeding point using intraoperative fluoroscopy. Preoperative TAE for small intestinal bleeding mat thus be useful for clarifying the bleeding point during surgery.

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