S2576 Application of Hemospray for Metastatic Bleeding Gastric Adenocarcinoma: A Case Report

Abstract

abdominal mass adjacent to the jejunum (Image). Ultrasound guided biopsy confirmed the diagnosis of a leiomyoma. Due to recurrent bleeding and the extent of the mass, he underwent surgical resection and recovered without incident. Discussion: This case highlights the importance of including non-invasive imaging techniques in the diagnostic tool kit in the evaluation of refractory, obscure bleeding. Non-invasive modalities, such as a RBC scintigraphy and CTA of the abdomen and pelvis, while significantly limited by sensitivity, are essential in cases of refractory obscure GI bleeding when endoscopic evaluation is unrevealing. Here we describe a patient who had a persistent, obscure GI bleed due to a leiomyoma invading the jejunal wall, which was discovered through CTA, despite undergoing scope imaging.[2574] Figure 1. Computed tomography scan images of abdomen showing the 15 cm 3 13.5 cm 3 8 cm leiomyoma in a coronal view (A) and sagittal view (B).