scholarly journals Endoscopic View of Gastroduodenal Artery Coils at the Base of Duodenal Ulcer in Case of Recurrent Massive Upper Gastrointestinal Bleed

Cureus ◽  
2017 ◽  
Author(s):  
Rawaa Ebrahem ◽  
Salam Kadhem ◽  
John W Frey ◽  
William Salyers
Keyword(s):  
Duodenal Ulcer ◽  
Gastroduodenal Artery ◽  
Gastrointestinal Bleed ◽  
Endoscopic View ◽  
Upper Gastrointestinal Bleed ◽  
Upper Gastrointestinal

Pseudoaneurysm of the gastroduodenal artery secondary to diverticulitis of the first part of duodenum: a rare presentation of upper gastrointestinal bleed

2021 ◽  
Vol 14 (1) ◽  
pp. e238232
Author(s):  
Ramanan Sinduja ◽  
Chellappa Vijayakumar ◽  
Mahalingam Sudharshan ◽  
Uday Shamrao Kumbhar ◽  
Bharat Manohara Naik ◽  
...  
Keyword(s):  
Gastroduodenal Artery ◽  
Definite Diagnosis ◽  
Coil Embolisation ◽  
Rare Presentation ◽  
Gastrointestinal Bleed ◽  
Initial Resuscitation ◽  
Surgical Emergency ◽  
Upper Gastrointestinal Bleed ◽  
Upper Gastrointestinal

Acute upper gastrointestinal (UGI) bleeding is one of the most frequent presentations to a surgical emergency. Most of them respond to initial resuscitation, and a definite diagnosis is established as soon as possible, thereby helping the clinician in management. We present the diagnostic challenges that we faced with a 70-year-old man who presented with UGI bleed. He initially responded to resuscitation, but later deteriorated and became haemodynamically unstable. The source of the UGI bleed on evaluation was found to be pseudoaneurysm of the gastroduodenal artery (PsGDA) and treated successfully by coil embolisation. The cause of the PsGDA was diverticulum arising from the first part of duodenum with changes of diverticulitis. Diverticulum originating from the first part of the duodenum is seldom reported. Moreover, diverticulitis involving this part and causing PsGDA has not been reported so far.

Bleeding duodenal ulcer with ovarian torsion—a rare presentation in neonates

2021 ◽  
Vol 14 (8) ◽  
pp. e243758
Author(s):  
Saikat Patra ◽  
Pavan Kalamdani ◽  
Thaslima Kalathingal ◽  
Jayashree Mondkar
Keyword(s):  
Duodenal Ulcer ◽  
Correct Diagnosis ◽  
Ovarian Torsion ◽  
Rare Presentation ◽  
Gastrointestinal Bleed ◽  
Prompt Treatment ◽  
Upper Gastrointestinal Bleed ◽  
Common Causes ◽  
Bleeding Duodenal Ulcer ◽  
Upper Gastrointestinal

Massive upper gastrointestinal bleed is an emergency in newborns. Common causes are coagulopathy and thrombocytopenia. Stress-induced duodenal ulcer has also been reported as an unusual cause for massive upper gastrointestinal bleed. Managing such cases requires correct diagnosis and prompt treatment to prevent catastrophic complications. We report a case of bleeding duodenal ulcer probably secondary to ovarian torsion.

scholarly journals Beyond Surgical Site Bleeding

2018 ◽  
Vol 4 ◽  
pp. 2513826X1876943
Author(s):  
Alexandra Bain ◽  
Jouseph O. Barkho ◽  
Matthew McRae ◽  
Mark McRae
Keyword(s):  
Duodenal Ulcer ◽  
Blood Transfusion ◽  
Gastroduodenal Artery ◽  
Hemorrhage Control ◽  
Autologous Breast Reconstruction ◽  
Massive Blood Transfusion ◽  
Upper Gastrointestinal Bleed ◽  
Inflammatory Drugs ◽  
Upper Gastrointestinal ◽  
Transfusion Protocol

We report the case of a 66-year-old female who underwent autologous breast reconstruction and sustained a massive upper gastrointestinal bleed secondary to a duodenal ulcer after using nonsteroidal anti-inflammatory drugs (NSAIDs) consistently for 2 weeks. She required resuscitation with a massive blood transfusion protocol and definitive hemorrhage control with interventional coiling of the gastroduodenal artery. We discuss the importance of thinking beyond surgical site bleeding with NSAIDs as well as risk stratification and prevention of NSAID-induced complications.

Recurrent upper gastrointestinal bleed in a 26 year old female

2018 ◽  
Vol 8 (1) ◽  
pp. 231-233
Author(s):  
T. Heavener ◽  
P. Patel ◽  
J. Garner ◽  
J. Sing ◽  
M. Jeffries ◽  
...  
Keyword(s):  
Duodenal Ulcer ◽  
Interventional Radiology ◽  
Proton Pump Inhibitor ◽  
Endovascular Embolization ◽  
Upper Endoscopy ◽  
Transfusion Strategy ◽  
Gastrointestinal Bleed ◽  
Upper Gastrointestinal Bleed ◽  
Coil Migration ◽  
Upper Gastrointestinal

According to recent society guidelines, upper gastrointestinal bleed initial approach includes assessment of hemodynamic status, fluid resuscitation if necessary, transfusion strategy to target hemoglobin above 7 (g/dL), use of intravenous proton pump inhibitor and generally upper endoscopy within 24 hours. We present a case of a 26-year-old woman who sought treatment after one episode of hematemesis and pre-syncope. She had a similar presentation three months earlier and received interventional radiology-guided mesenteric angiography and the use of multiple coils to embolize a 1.5-cm deep punched-out duodenal ulcer. Migration of the coil was noted on endoscopy within the previously described ulcer. Coil migration is expected to occur in up to 3% of cases of endovascular embolization. However, migration into the duodenum is uncommon and could have actually been a contributing factor to the current bleed.

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