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Transient angioedema of small bowel secondary to intravenous iodinated contrast medium.

Kulkarni KN, Hegde RG, Balani A, Joshi AR - Indian J Radiol Imaging (2014)

Bottom Line: 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.

View Article: PubMed Central - PubMed

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

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.

No MeSH data available.


Related in: MedlinePlus

Axial (A and B) and coronal (C) CT of the abdomen obtained 45 min following the administration of intravenous material shows reduction of previously identified bowel wall thickening. This was accompanied by clinical recovery of the patient
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Figure 3: Axial (A and B) and coronal (C) CT of the abdomen obtained 45 min following the administration of intravenous material shows reduction of previously identified bowel wall thickening. This was accompanied by clinical recovery of the patient

Mentions: The patient experienced mild abdominal discomfort post procedure. Clinical examination revealed mild tachycardia with no skin rash or pruritus. A repeat delayed scan obtained at 45 min revealed reduction in the bowel wall edema [Figure 3]. The patient became asymptomatic in a few hours following the scan, with no delayed symptoms. The patient was monitored over a period of 1 h for vital parameters including pulse, blood pressure, and cutaneous reactions. No medications were given. Follow-up evaluation after 24 h revealed no significant clinical findings.


Transient angioedema of small bowel secondary to intravenous iodinated contrast medium.

Kulkarni KN, Hegde RG, Balani A, Joshi AR - Indian J Radiol Imaging (2014)

Axial (A and B) and coronal (C) CT of the abdomen obtained 45 min following the administration of intravenous material shows reduction of previously identified bowel wall thickening. This was accompanied by clinical recovery of the patient
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4126148&req=5

Figure 3: Axial (A and B) and coronal (C) CT of the abdomen obtained 45 min following the administration of intravenous material shows reduction of previously identified bowel wall thickening. This was accompanied by clinical recovery of the patient
Mentions: The patient experienced mild abdominal discomfort post procedure. Clinical examination revealed mild tachycardia with no skin rash or pruritus. A repeat delayed scan obtained at 45 min revealed reduction in the bowel wall edema [Figure 3]. The patient became asymptomatic in a few hours following the scan, with no delayed symptoms. The patient was monitored over a period of 1 h for vital parameters including pulse, blood pressure, and cutaneous reactions. No medications were given. Follow-up evaluation after 24 h revealed no significant clinical findings.

Bottom Line: 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.

View Article: PubMed Central - PubMed

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

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.

No MeSH data available.


Related in: MedlinePlus