scholarly journals Intraluminal Endovascular Coil Migration: A Rare Complication Post-Embolization of the Gastroduodenal Artery for a Previously Bleeding Duodenal Ulcer

Cureus ◽  
2021 ◽  
Author(s):  
Yassin Naga ◽  
Mahendran Jayaraj ◽  
Yousif Elmofti ◽  
Annie Hong ◽  
Gordon Ohning
Keyword(s):  
Duodenal Ulcer ◽  
Rare Complication ◽  
Gastroduodenal Artery ◽  
Bleeding Duodenal Ulcer ◽  
Coil Migration

Iatrogenic injury of duodenum: malady of a therapeutic misadventure

2021 ◽  
Vol 14 (4) ◽  
pp. e242294
Author(s):  
Swastik Mishra ◽  
Pankaj Kumar ◽  
Prakash Kumar Sasmal ◽  
Tushar Subhadarshan Mishra
Keyword(s):  
Duodenal Ulcer ◽  
Postoperative Complications ◽  
Surgical Management ◽  
Surgical Intervention ◽  
Gastroduodenal Artery ◽  
Duodenal Stump ◽  
Duodenal Injury ◽  
Acute Bleeding ◽  
Endoscopic Procedures ◽  
Bleeding Duodenal Ulcer

Endoscopic procedures are the front-runner of the management of bleeding duodenal ulcer. Rarely, surgical intervention is sought for acute bleeding, not amenable to endoscopic procedures. Oversewing of the gastroduodenal artery at ulcer crater by transduodenal approach is the most acceptable and recommended method of treatment. We describe a case of an intraoperative duodenal injury that occurred during an attempt to oversew the gastroduodenal artery after a duodenotomy, leading to an unsatisfactory and meagre duodenal stump. This case will highlight the intraoperative turmoil, postoperative complications and management of a series of anticipated but unfortunate events that have rendered us wiser in terms of surgical management of a bleeding duodenal ulcer.

scholarly journals Management of Gastroduodenal Artery Pseudoaneurysm Rupture With Duodenal Ulcer Complicated by Coil Migration

2020 ◽  
Vol 7 (4) ◽  
pp. e00347
Author(s):  
Dennis Chang ◽  
Purvi Patel ◽  
Seth Persky ◽  
Joseph Ng ◽  
Alan Kaell
Keyword(s):  
Duodenal Ulcer ◽  
Gastroduodenal Artery ◽  
Artery Pseudoaneurysm ◽  
Coil Migration

scholarly journals S2983 Coil Migration: A Rare Complication of Gastroduodenal Artery Embolization

2021 ◽  
Vol 116 (1) ◽  
pp. S1235-S1235
Author(s):  
Ronald S. Jordan ◽  
Roderick S. Brown ◽  
Phillip Henderson
Keyword(s):  
Rare Complication ◽  
Gastroduodenal Artery ◽  
Artery Embolization ◽  
Coil Migration

Aneurysm of the Gastroduodenal Artery Presenting as a Bleeding Duodenal Ulcer

2006 ◽  
Vol 4 (10) ◽  
pp. A28 ◽  
Author(s):  
Corwyn Rowsell ◽  
Terrence L. Moore ◽  
Catherine J. Streutker
Keyword(s):  
Duodenal Ulcer ◽  
Gastroduodenal Artery ◽  
Bleeding Duodenal Ulcer

scholarly journals Coil migration – a rare complication of endovascular exclusion of visceral artery pseudoaneurysms and aneurysms

2011 ◽  
Vol 93 (4) ◽  
pp. e19-e23 ◽  
Author(s):  
JRA Skipworth ◽  
C Morkane ◽  
DA Raptis ◽  
L Kennedy ◽  
K Johal ◽  
...  
Keyword(s):  
Weight Loss ◽  
Chronic Pancreatitis ◽  
Bypass Surgery ◽  
Rare Complication ◽  
Gastroduodenal Artery ◽  
Visceral Artery ◽  
Artery Pseudoaneurysm ◽  
Biliary Bypass ◽  
Endoscopic Investigation ◽  
Coil Migration

Introduction We describe a case of metallic, angiographic coil migration, following radiological exclusion of a gastroduodenal artery pseudoaneurysm secondary to chronic pancreatitis. Patients and Methods A 55-year-old man presented to the out-patient clinic with chronic, intermittent, post-prandial, abdominal pain, associated with nausea, vomiting and weight loss. He was known to have chronic pancreatitis and liver disease secondary to alcohol abuse and previously underwent angiographic exclusion of a gastroduodenal artery pseudoaneurysm. During subsequent radiological and endoscopic investigation, an endovascular coil was discovered in the gastric pylorus, associated with ulceration and cavitation. This patient was managed conservatively and enterally fed via naso-jejunal catheter endoscopically placed past the site of the migrated coil. This patient is currently awaiting biliary bypass surgery for chronic pancreatitis, and definitive coil removal will occur concurrently. Conclusions Literature review reveals that this report is only the eighth to describe coil migration following embolisation of a visceral artery pseudoaneurysm or aneurysm. Endovascular embolisation of pseudoaneurysms and aneurysms is generally safe and effective. More common complications of visceral artery embolisation include rebleeding, pseudoaneurysm reformation and pancreatitis.

Choice of emergency operative procedure for bleeding duodenal ulcer

1991 ◽  
Vol 78 (5) ◽  
pp. 633-634 ◽  
Author(s):  
M. Schein ◽  
P. S. Hunt ◽  
R. McIntyre
Keyword(s):  
Duodenal Ulcer ◽  
Operative Procedure ◽  
Bleeding Duodenal Ulcer

scholarly journals Massive hemobilia caused by rupture of gastroduodenal artery pseudoaneurysm, a delayed complication of laparoscopic cholecystectomy: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Kurniawan Kurniawan ◽  
I Dewa Nyoman Wibawa ◽  
Gde Somayana ◽  
I Ketut Mariadi ◽  
I Made Mulyawan
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gastrointestinal Bleeding ◽  
Abdominal Trauma ◽  
Upper Gastrointestinal Bleeding ◽  
Rare Complication ◽  
Gastroduodenal Artery ◽  
Time Interval ◽  
Artery Pseudoaneurysm ◽  
History Of ◽  
Upper Gastrointestinal

Abstract Background Hemobilia is a rare cause of upper gastrointestinal bleeding that originates from the biliary tract. It is infrequently considered in diagnosis, especially in the absence of abdominal trauma or history of hepatopancreatobiliary procedure, such as cholecystectomy, which can cause arterial pseudoaneurysm. Prompt diagnosis is crucial because its management strategy is distinct from other types of upper gastrointestinal bleeding. Here, we present a case of massive hemobilia caused by the rupture of a gastroduodenal artery pseudoaneurysm in a patient with a history of laparoscopic cholecystectomy 3 years prior to presentation. Case presentation A 44-year-old Indonesian female presented to the emergency department with complaint of hematemesis and melena accompanied by abdominal pain and icterus. History of an abdominal trauma was denied. However, she reported having undergone a laparoscopic cholecystectomy 3 years prior to presentation. On physical examination, we found anemic conjunctiva and icteric sclera. Nonvariceal bleeding was suspected, but esophagogastroduodenoscopy showed a blood clot at the ampulla of Vater. Angiography showed contrast extravasation from a gastroduodenal artery pseudoaneurysm. The patient underwent pseudoaneurysm ligation and excision surgery to stop the bleeding. After surgery, the patient’s vital signs were stable, and there was no sign of rebleeding. Conclusion Gastroduodenal artery pseudoaneurysm is a rare complication of laparoscopic cholecystectomy. The prolonged time interval, as compared with other postcholecystectomy hemobilia cases, resulted in hemobilia not being considered as an etiology of the gastrointestinal bleeding at presentation. Hemobilia should be considered as a possible etiology of gastrointestinal bleeding in patients with history of cholecystectomy, regardless of the time interval between the invasive procedure and onset of bleeding.

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