Countering hemorrhagic shock due to duodenal variceal rupture with resuscitative endovascular balloon occlusion of the aorta.
Am J Emerg Med
; 64: 204.e1-204.e3, 2023 02.
Article
en En
| MEDLINE
| ID: mdl-36369047
ABSTRACT
Resuscitative endovascular balloon occlusion of the aorta (REBOA) has become an important option for managing life-threatening, traumatic or non-traumatic, arterial bleeding. The use of REBOA in variceal hemorrhagic shock, however, has rarely been reported. A 54-year-old man with untreated alcoholic liver cirrhosis presented with hematochezia and altered mental status. Contrast-enhanced computed tomography suggested ruptured duodenal varices. Since the patient had profound hypotension, we performed REBOA to temporize the hemorrhage. Immediately after balloon inflation, his blood pressure increased, allowing us to safely perform endoscopic variceal ligation. Our case indicates that REBOA is effective in controlling portal venous flow in acute gastrointestinal variceal hemorrhage.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Choque Hemorrágico
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Traumatismos Torácicos
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Várices Esofágicas y Gástricas
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Oclusión con Balón
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Enfermedades Duodenales
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Procedimientos Endovasculares
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Traumatismos Abdominales
Límite:
Humans
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Male
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Middle aged
Idioma:
En
Revista:
Am J Emerg Med
Año:
2023
Tipo del documento:
Article