A case of massive bleeding from an ulcer in the posterior wall of the duodenum successfully treated with multimodal treatment
Year: 2018
Type: article
Study design: Case Report
Abstract: A 74-year-old male patient was admitted to our hospital with a diagnosis of ulcer in the upper gastrointestinal tract. Upper gastrointestinal endoscopy revealed a bleeding ulcer on the posterior wall of the duodenum, from which massive bleeding occurred during the examination. Because hemostasis could not be achieved by endoscopic procedures, we attempted an emergency transcatheter embolization. However, complete hemostasis could not be achieved, and the patient underwent emergency surgery. After laparotomy, the patient suffered cardiac arrest. We were able to achieve hemostasis by directly suturing the gastroduodenal artery which was exposed at the ulcer base, while resuscitating the patient by cardiac compression and massive blood transfusion. Wound closure was performed later in a two-step manner. He was discharged without delayed neurological complications on day 118 after the surgery.
Source: Progress of Digestive Endoscopy
Authors: Koki Kamiyama, Tetsuji Yamaguchi, Natsuki Kato, Hideaki Anzai, Takahiko Yano, Kimiko Kawai, Keiichi Arai, Atsushi Nakano, Hideyuki Uotani
Language: English
Subfield: Gastroenterology
Field: Medicine
Domain: Health Sciences
Open Access status: diamond
OpenAlex ID: W2903986776