HomeClinicalMelena and abdominal pain

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.