Bleeding per rectum in a patient with an amputated finger

Abstract

A 42-year-old female who had her right index finger amputated 13 months back now presented to the department of gastroenterology with symptoms of abdominal pain and bleeding per rectum. On examination the patient had iron deficiency anemia and features of cachexia. Upper gastrointestinal (GI) endoscopy and colonoscopy were done but did not reveal any lesion. The patient underwent computed tomography (CT) scan on a Siemens 64-slice CT scanner, which showed multiple rounded, markedly enhancing, small gut (jejunal) lesions, along with an enteroenteric intussusception [Figures ​[Figures11–3]. A similarly enhancing lesion was also found in the left gluteus medius muscle. Figure 1 MDCT coronal image showing two markedly enhancing lesions in the jejunum Figure 3 Axial MDCT image showing enteroenteric intussusception, with an enhancing lesion as the lead point Figure 2 Axial MDCT image showing markedly enhancing lesions in the jejunum