Differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy CT

We present the case of a 24-year-old woman who presented to the emergency department with mid-epigastric pain and nausea. Contrast enhanced dual-energy CT showed high iodine signal in the small bowel lumen concerning for gastrointestinal bleeding since oral contrast was not given. However, overt ble...

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Main Authors:	Todd C. Soesbe, PhD, Lakshmi Ananthakrishnan, MD, Matthew A. Lewis, PhD
Format:	Article
Language:	English
Published:	Elsevier 2021-12-01
Series:	Radiology Case Reports
Subjects:	Dual-energy X-ray computed tomography Emergency room Intravenous iodine Gastrointestinal bleeding Indigestion medicine
Online Access:	http://www.sciencedirect.com/science/article/pii/S1930043321006415

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spelling	doaj-1ee9bb9ed5cb49c48c06051b296ee2382021-10-03T04:39:36ZengElsevierRadiology Case Reports1930-04332021-12-01161236623665Differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy CTTodd C. Soesbe, PhD0Lakshmi Ananthakrishnan, MD1Matthew A. Lewis, PhD2Corresponding author.; Department of Radiology, The University of Texas Southwestern Medical Center, 5323 Harry Hines BLVD; Dallas, TX 75390-9316, USADepartment of Radiology, The University of Texas Southwestern Medical Center, 5323 Harry Hines BLVD; Dallas, TX 75390-9316, USADepartment of Radiology, The University of Texas Southwestern Medical Center, 5323 Harry Hines BLVD; Dallas, TX 75390-9316, USAWe present the case of a 24-year-old woman who presented to the emergency department with mid-epigastric pain and nausea. Contrast enhanced dual-energy CT showed high iodine signal in the small bowel lumen concerning for gastrointestinal bleeding since oral contrast was not given. However, overt bleeding symptoms were absent. Further in-house analysis of the dual-energy CT data revealed the hyperattenuating intraluminal material to be oral indigestion medicine containing magnesium, aluminum, or bismuth, and not extravasated iodine.http://www.sciencedirect.com/science/article/pii/S1930043321006415Dual-energy X-ray computed tomographyEmergency roomIntravenous iodineGastrointestinal bleedingIndigestion medicine
collection	DOAJ
language	English
format	Article
sources	DOAJ
author	Todd C. Soesbe, PhD Lakshmi Ananthakrishnan, MD Matthew A. Lewis, PhD
spellingShingle	Todd C. Soesbe, PhD Lakshmi Ananthakrishnan, MD Matthew A. Lewis, PhD Differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy CT Radiology Case Reports Dual-energy X-ray computed tomography Emergency room Intravenous iodine Gastrointestinal bleeding Indigestion medicine
author_facet	Todd C. Soesbe, PhD Lakshmi Ananthakrishnan, MD Matthew A. Lewis, PhD
author_sort	Todd C. Soesbe, PhD
title	Differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy CT
title_short	Differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy CT
title_full	Differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy CT
title_fullStr	Differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy CT
title_full_unstemmed	Differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy CT
title_sort	differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy ct
publisher	Elsevier
series	Radiology Case Reports
issn	1930-0433
publishDate	2021-12-01
description	We present the case of a 24-year-old woman who presented to the emergency department with mid-epigastric pain and nausea. Contrast enhanced dual-energy CT showed high iodine signal in the small bowel lumen concerning for gastrointestinal bleeding since oral contrast was not given. However, overt bleeding symptoms were absent. Further in-house analysis of the dual-energy CT data revealed the hyperattenuating intraluminal material to be oral indigestion medicine containing magnesium, aluminum, or bismuth, and not extravasated iodine.
topic	Dual-energy X-ray computed tomography Emergency room Intravenous iodine Gastrointestinal bleeding Indigestion medicine
url	http://www.sciencedirect.com/science/article/pii/S1930043321006415
work_keys_str_mv	AT toddcsoesbephd differentiatingunexpectedhyperattenuatingintraluminalmaterialfromgastrointestinalbleedingoncontrastenhanceddualenergyct AT lakshmiananthakrishnanmd differentiatingunexpectedhyperattenuatingintraluminalmaterialfromgastrointestinalbleedingoncontrastenhanceddualenergyct AT matthewalewisphd differentiatingunexpectedhyperattenuatingintraluminalmaterialfromgastrointestinalbleedingoncontrastenhanceddualenergyct
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Differentiating unexpected hyperattenuating intraluminal material from gastrointestinal bleeding on contrast enhanced dual-energy CT

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