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Persisting bleeding from the duodenal ulcer in patients with occlusion of the celiac trunk: a case report.
- Source :
- Polish Journal of Surgery; 2021 Supplement, Vol. 93, p54-58, 5p
- Publication Year :
- 2021
-
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. 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. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 0032373X
- Volume :
- 93
- Database :
- Complementary Index
- Journal :
- Polish Journal of Surgery
- Publication Type :
- Academic Journal
- Accession number :
- 156300569
- Full Text :
- https://doi.org/10.5604/01.3001.0014.4636