Persisting bleeding from the duodenal ulcer in patients with occlusion of the celiac trunk: a case report.
Pol Przegl Chir
; 93(2): 1-5, 2020 Oct 23.
Article
em En
| MEDLINE
| ID: mdl-34057429
ABSTRACT
INTRODUCTION:
Endoscopic measures have continued to be the primary procedures in the management of ulcer bleeding. Nevertheless, in cases of failed endoscopic hemostasis and re-bleedings, endovascular techniques have gradually gained increased acceptance as an alternative to surgery, allowing to avoid surgical intervention in some cases. <br/> Case report A case of a 42-year-old patient presenting to the authors' institution with massive bleeding from the duodenal ulcer, sprang from a pathologically enlarged gastroduodenal artery is reported. This vascular anomaly was a consequence of occlusion of the coeliac trunk (Dunbar syndrome), which was shown on an angio-CT scan. In spite of several endoscopic and endovascular measures, as well as three operations, the bleeding persistently recurred (a total of 6 episodes) and the patient eventually died. The article presents details of operative and endovascular treatments. Contemporary trends in management in cases of failed endoscopic interventions and re-bleedings form peptic ulcers are shown in the discussion.Palavras-chave
Texto completo:
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Base de dados:
MEDLINE
Assunto principal:
Estômago
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Artéria Celíaca
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Úlcera Péptica Hemorrágica
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Hemostase Endoscópica
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Úlcera Duodenal
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Procedimentos Endovasculares
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Síndrome do Ligamento Arqueado Mediano
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article