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Imaging Preferred modality : CT abdomen with oral or IV contrast Alternative modalities MRI abdomen Magnetic resonance enterography Findings Multiple round or ovoid, thin-walled outpouchings Usually located on the mesenteric border No plicae circulares May contain air-fluid level Laparotomy Gold standard Not the preferred modality as it is invasive Diagnosis of bleeding from small bowel diverticula Small bowel endoscopy (e.g., capsule or double-balloon enteroscopy): high yield Angiography (e.g., CT angiography): for brisk bleeding Nuclear medicine scan: for slower bleeding See also "Approach to suspected small bowel bleeding." Avoid oral contrast in patients with an acute GI bleed as it may interfere with therapeutic endoscopy or angiography

MacInnes AW, Amsterdam A, Whittaker CA, Hopkins N, Lees JA

Not dosing advice and not for human or animal administration