A young patient who recently underwent a bowl resection, presents after few weeks of discharge with a massive Gastrointestinal bleed. Failed resuscitation by conservative methods. Request for intervention.

A male in mid 40’s with known chronic pancreatitis, presents with an acute episode. Current episode, complicated by subtle gastrointestinal bleed requiring blood transfusions. Negative Upper and Lower GI studies.

Female in 50’s Presentation: A. fib and recurrent lower GI bleeds, presenting with hematochezia and acute blood loss anemia. Concern for diverticular bleed. Referred to IR further evaluation  

A young male with metastatic lung cancer. Palliative care, having difficulties in feeding. Referred to IR for percutaneous gastrostomy tube placement. IR gastrostomy tubes are easy to perform, if there’s a safe window to approach. This is a case where there was no safe window.

A middle aged male with history of alcohol use. Presently admitted with acute abdominal pain, hematemesis and drop in Hb. Emergent CT abdomen and pelvis was requested.

A female in mid 60’s with significant past medical history of Pancreatic cancer. S/P Whipple’s (7 years ago). Now presents with abdominal pain, vomiting, Jaundice and clinical picture of cholangitis.

A patient who’s having feeding difficulties, post bilateral lung transplant underwent percutaneous gastrostomy tube placement. The tube was clogged and patient presents to IR for exchange of the catheter.

A 50 year old male with history of alcohol abuse and pancreatitis. Presenting with abdominal pain, melena and anemia with elevated lipase. Refractory anemia with concern for GI bleed.

A male patient in 70’s presents with hematochezia. Hemodynamically stable, but slow drop in hemoglobin. Investigations include routine lab works, followed by upper GI endoscopy which did not reveal any signs or recent stigmata of bleed.

Presented to ED with acute abdominal pain •S/P Colonoscopy 8 hrs ago •Experienced lot of pain during the colonoscopy •Small sessile polyp removed from ascending colon •Presently hypotensive, tachycardic, elevated lactate, Hb drop •Suspected peritonitis  

Old male with history of esophageal cancer, status post esophagectomy (McKeown) and chemoradiation 1 year ago. Had multiple upper GI bleeding episodes. Now presenting with massive hematemesis and hemorrhagic shock.

A middle aged male with known history of HTN, Alcohol abuse, Pancreatitis presents wit upper GI bleed. Due to failed conservative management, undergoes Endoscopy.  

Patient with a failed TIPS at an outside hospital underwent an emergent TIPS due to massive GI bleed, requiring 50 units of blood transfusion. Post TIPS placement, patient continues to have episodes of GI Bleed.  

61 yo F w/sharp abdo pain after leaving a concert. OSH CT shows a large intraabdominal mass, sent to CCF for further eval. – Hx of many surgeries (cholecystectomy, lap band, appendectomy, lap band, roux-en-Y, aborted roux-en-Y revision) – Was on Eliquis until 2 days ago – Tachy and mildy hypotensive

A middle aged person, on anticoagulants for MVR presents with acute drop in Hb, Non invasive tests including endoscopy, colonoscopy along with NM study were negative. Negative angiograms x 2,  still continues to bleed requiring multiple transfusions. Decision was made to perform provocative angiogram before exploring surgical options,  

An old male patient awaiting for CABG in next few days presented to ER with acute abdominal pain. CT demonstrate an moderately large PSA and was referred to IR for embolization.

A middle aged person with acute pancreatitis developed PSA over the course. Referred to IR for embolization, which was successful. Over the course, it was noted unraveling of the coils and the patient was asymptomatic. A combined plan between the surgeons and IR, leading to removal of the coils and placement of plug across. No […]

Young female with cirrhosis, portal HTN, Isolated gastric varices persistent large inspite of endoscopic therapy.  

Pseudocyst drainage by cysto-gastrostomy tube placement under EUS guidance complicated by PSA.  

Acute lower GI bleed.  

Active lower GI bleed, colonoscopy suggested Caecal/ascending colon bleed and a endoclip placed for angiographic assistance.  

Obese patient with slow GI bleed. CTA demonstrate large anterior abdominal wall hernia, compressing the adjacent veins and causing venous congestion. Raised Portal pressures on Transjugular assessment. Negative endo and colonoscopy. Request for emergent Angiogram, If negative to proceed with TIPS. Post TIPS placement, GI bleed still continues.