An unusual complication after endoscopic clipping of a gastric ulcer.
Ther Adv Gastrointest Endosc
; 16: 26317745231220477, 2023.
Article
de En
| MEDLINE
| ID: mdl-38152631
ABSTRACT
A 72-year-old patient presented with malaena secondary to two antral ulcers which were discovered in oesophagogastroduodenoscopy (OGD) after admission. One of the ulcers with a visible vessel was injected with adrenaline and clipped with an OVESCO clip. The patient continued to have coffee ground vomitus on the following day with a drop in haemoglobin level. Repeat OGD showed a large intra-mural haematoma with the clip still in situ and no bleeding from the surface of the ulcer. Patient underwent a coil embolization of the distal gastroduodenal artery (GDA), right gastroepiploic artery and a medial branch of the GDA. Repeat OGD showed that the submucosal haematoma had evacuated, leaving a large, clean-based mucosal defect.
Texte intégral:
1
Collection:
01-internacional
Base de données:
MEDLINE
Langue:
En
Journal:
Ther Adv Gastrointest Endosc
Année:
2023
Type de document:
Article
Pays d'affiliation:
Singapour