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Melena and abdominal pain

    Author: Michele Anzidei, Rome, Italy
    Body Region: Abdomen and Pelvis

    1. Patient Presentation
    2. CT Images
    3. CT Findings
    4. Diagnosis
    5. References

    1. Patient Presentation

    • A 75-year-old man presented to the emergency department with abdominal pain and melena.
    • Laboratory testing demonstrated low hemoglobin levels (10 g/dl) while clinical examination did not reveal any systemic disease.
    • Abdominal ultrasonography gave normal findings, with no evidence of peritoneal fluid, hematoma, nor signs of active bleeding from abdominal or pelvic organs.
    • Contrast-enhanced CT of the abdomen was performed to identify the site of bleeding.
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