Japanese journal of radiology
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Case Reports
A case of rectal Dieulafoy's lesion successfully treated by transcatheter arterial embolization.
A 50-year-old man showed massive lower gastrointestinal bleeding without a triggering episode. An emergency colonoscopy revealed a protruding vessel in the lower rectum with no active bleeding. No underlying ulcer was seen within the surrounding mucosa. ⋯ During the second angiography, sudden bleeding occurred. Angiography showed extravasation of contrast medium from the distal branch of the superior rectal artery. Transcatheter arterial embolization was performed, and was very effective.
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The use of post-mortem radiological imaging is becoming increasing widespread in forensic medicine. These images can help improve the quality and safety of autopsy. ⋯ Autopsy showed that both artifacts were pieces broken off of a sharp instrument. Some possible benefits of postmortem MSCT include the ability to reconstruct visual images of weapons and the possible prevention of injury to autopsy personnel.