PMC8563110_01
CT angiogram of the abdomen showed active bleeding in the jejunum (arrow).
CRICC2021-9921361.001.jpg
PMC8563110_01_CRICC2021-9921361.001.jpg
fig1
She underwent a CT angiogram which showed active hemorrhage from the superior mesenteric artery (SMA) (Figure 1).
(a) Mesenteric angiogram showed bleeding from the jejunal branch of the superior mesenteric artery (arrow). (b) Late images of mesenteric angiogram showed collection of blood in the loop of the jejunum suggestive of active bleeding.
CRICC2021-9921361.002.jpg
PMC8563110_01_CRICC2021-9921361.002.jpg
fig2
A mesenteric angiogram showed bleeding from the jejunal branch of the superior mesenteric artery (Figure 2(a)). Late images showed collection of blood in the loop of the jejunum (Figure 2(b)).
Histopathological examination of the intestine showed granulomatous vasculitis of submucosal vessels.
CRICC2021-9921361.003.jpg
PMC8563110_01_CRICC2021-9921361.003.jpg
fig3
A histopathological exam showed granulomatous vasculitis of the submucosal vessels, fibrinoid necrosis of the vascular wall, and scattered luminal thrombi along with multiple foci of mucosal ulceration and ischemia (Figures 3 and 4).
Fibrinoid necrosis of the vascular wall and scattered luminal thrombi present on histopathological examination.
CRICC2021-9921361.004.jpg
PMC8563110_01_CRICC2021-9921361.004.jpg
fig4
A histopathological exam showed granulomatous vasculitis of the submucosal vessels, fibrinoid necrosis of the vascular wall, and scattered luminal thrombi along with multiple foci of mucosal ulceration and ischemia (Figures 3 and 4).