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CC BY-NC-ND 4.0 · Journal of Gastrointestinal and Abdominal Radiology 2022; 05(03): 213-216
DOI: 10.1055/s-0042-1749676
Case Report

Transient Small Bowel Angio-oedema Secondary to Intravenous Iodinated Contrast Medium

Amjada A. Kalam
1   Department of Radiodiagnosis, Sree Gokulam Medical College And Research Foundation, Thiruvananthapuram, Kerala, India
,
Praveen Kesav Ramaswamy 
1   Department of Radiodiagnosis, Sree Gokulam Medical College And Research Foundation, Thiruvananthapuram, Kerala, India
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Abstract

We report the clinical profile and computed tomography (CT) findings of a rare case of transient angio-edema of the small bowel following intravenous administration of non-ionic iodinated contrast material in a 36-year-old woman. The pre-contrast CT showed normal small bowel and large bowel wall thickness. Findings included long segment, circumferential bowel wall thickening involving the duodenum, jejunum, and almost the entire ileum on CT scan obtained following the intravenous contrast material injection. The large bowel wall appeared normal in post contrast images also. There was no mesenteric fat stranding, ascites or significant lymphadenopathy. This entity, like most contrast-induced adverse reactions, has a favorable clinical outcome with aggressive clinical monitoring and supportive measures.

Keywords

anaphylaxis - contrast allergy - small bowel angio-edema


Publikationsverlauf

Artikel online veröffentlicht:
15. August 2022

© 2022. Indian Society of Gastrointestinal and Abdominal Radiology. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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