Man 37 yo in urgency by melena and hypotension.
Ultrasound of abdomen first detected one mass of 6cm at the pelvis, well bordered (US image 1: mass near the urinary bladder wall, US 2: very hypoechoic with linear probe 12MHz, US 3 elasto: this mas soft and inhomogeneous, and video hypervascular mass).
MSCT with CE of this mass showed rapid and high CE enhancement (see 3 CT images).
There were no relation between the mass with GI tract lumen.
Blood test Hct 20% post blood transfusion. And gastroscopy and colonoscopy: NAD (nothing abnormal detected).
Today, laparotomy found out the mass in the small bowel wall, with vascular congestion. And there was one site eroding the mucosa layer of intestine. Maybe bleeding from this site (see operation images).
![]()
![]()
![]()
Blood test Hct 20% post blood transfusion. And gastroscopy and colonoscopy: NAD (nothing abnormal detected).
Today, laparotomy found out the mass in the small bowel wall, with vascular congestion. And there was one site eroding the mucosa layer of intestine. Maybe bleeding from this site (see operation images).
