Transient angioedema of small bowel secondary to intravenous iodinated contrast medium

Kirankumar N Kulkarni; Rahul G Hegde; Ankit Balani; Anagha R Joshi

doi:10.4103/0971-3026.137065

Indian Journal of Radiology and Imaging, Inhaltsverzeichnis

CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2014; 24(03): 303-305
DOI: 10.4103/0971-3026.137065

Abdominal Radiology

Transient angioedema of small bowel secondary to intravenous iodinated contrast medium

Authors

Kirankumar N Kulkarni

Department of Radiology, Lokmanya Tilak Municipal Medical College and Lokmanya Tilak Municipal General Hospital, Mumbai, Maharashtra, India
Rahul G Hegde

Department of Radiology, Lokmanya Tilak Municipal Medical College and Lokmanya Tilak Municipal General Hospital, Mumbai, Maharashtra, India
Ankit Balani

Department of Radiology, Lokmanya Tilak Municipal Medical College and Lokmanya Tilak Municipal General Hospital, Mumbai, Maharashtra, India
Anagha R Joshi

Department of Radiology, Lokmanya Tilak Municipal Medical College and Lokmanya Tilak Municipal General Hospital, Mumbai, Maharashtra, India

Abstract

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Abstract

We report the clinical details and imaging findings of a case of transient angioedema of the small bowel following intravenous administration of non-ionic iodinated contrast material in a 17 year old female with no predisposing risk factors. Findings included long segment, symmetric, circumferential, low-density, bowel wall thickening involving the duodenum, jejunum, and most of the ileum on computed tomography scan obtained at 7 min following intravenous contrast material injection. This entity is self-limiting with a favourable clinical outcome and requires no specific treatment but only aggressive clinical monitoring.

Keywords

Anaphylaxis - CECT - transient angioedema

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Referenzen

References
1 Wang CL, Cohan RH, Ellis JH, Caoili EM, Wang G, Francis IR. Frequency, outcome, and appropriateness of treatment of nonionic iodinated contrast media reactions. AJR Am J Roentgenol 2008;191:409-15.
2 Hu, XH, Gong XY, Hu P. Transient small bowel angioedema due to intravenous iodinated contrast media. World J Gastroenterol 2012;18:999-1002.
3 Adapted from the ACR Manual on Contrast Media-Version 9, 2013. Published by the American College of Radiology. Available from: http://www.acr.org/quality-safety/resources/contrast-manual. [Last accessed on 2014 Mar 10].
4 Polger M, Kuhlman JE, Hansen FC 3 rd , Fishman EK. Computed tomography of angioedema of small bowel due to reaction to radiographic contrast medium. J Comput Assist Tomogr 1988;12:1044-6.
5 Kim SH, Cho JY, Lim HK. CT findings of isolated small bowel angioedema due to iodinated radiographic contrast medium reaction. Abdom Imaging 1999;24:117-9.
6 Chen CK, Chang HT, Chen CW, Lee RC, Sheu MH, Wu MH, et al. Dynamic computed tomography of angioedema of the small bowel induced by iodinated contrast medium: Prompted by coughing-related motion artifact. Clin Imaging 2012;36:386-9.
7 De Backer AI, De Schepper AM, Vandevenne JE, Schoeters P, Michielsen P, Stevens WJ. CT of angioedema of the small bowel. AJR Am J Roentgenol 2001;176:649-52.
8 Macari M, Megibow AJ, Balthazar EJ. A pattern approach to the abnormal small bowel: Observations at MDCT and CT enterography. AJR Am J Roentgenol 2007;188:1344-55.
9 Sinha R, Murphy P, Sanders S, Ramachandran I, Hawker P, Rawat S, et al. Diagnostic accuracy of high-resolution MR enterography in Crohn′s disease: Comparison with surgical and pathological specimen. Clin Radiol 2013;68:917-27.
10 Sinha R, Rajesh A, Rawat S, Rajiah P, Ramachandran I. Infections and infestations of the gastrointestinal tract. Part 1: Bacterial, viral and fungal infections. Clin Radiol 2012;67:484-94.