Abrupt occlusion of right gastroepiploic artery as an angiographic evidence of gastrointestinal hemorrhage
Angiography plays an important role in both diagnosis and treatment of gastrointestinal (GI) bleeding; however, the sensitivity is low for diagnosis. We report a case of a 38-year-old woman who presented with recurrent upper GI bleeding following central pancreatectomy. Multiple selective arteriogra...
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| Format: | Article |
| Language: | English |
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Aran Ediciones
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| Series: | Revista Espanola de Enfermedades Digestivas |
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| Online Access: | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082017000200018&lng=en&tlng=en |
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| author | Zhongzhi Jia J. Mark McKinney Ricardo Paz-Fumagalli Ray K. Bradford Weiping Wang |
| author_facet | Zhongzhi Jia J. Mark McKinney Ricardo Paz-Fumagalli Ray K. Bradford Weiping Wang |
| author_sort | Zhongzhi Jia |
| collection | DOAJ |
| description | Angiography plays an important role in both diagnosis and treatment of gastrointestinal (GI) bleeding; however, the sensitivity is low for diagnosis. We report a case of a 38-year-old woman who presented with recurrent upper GI bleeding following central pancreatectomy. Multiple selective arteriograms failed to reveal any active bleeding or other common signs of bleeding. There was an abrupt occlusion of the right gastroepiploic artery initially interpreted to be a surgical ligation. Upon direct superselective injection near the occlusion, an area of frank contrast extravasation was demonstrated immediately beyond the occlusion. The underlying vessel was embolized with n-butyl cyanoacrylate without recurrent bleeding up to 3-month follow-up. |
| first_indexed | 2024-12-10T15:51:56Z |
| format | Article |
| id | doaj.art-f02f1f38cfd54a068fe117d50608c9c0 |
| institution | Directory Open Access Journal |
| issn | 1130-0108 |
| language | English |
| last_indexed | 2024-12-10T15:51:56Z |
| publisher | Aran Ediciones |
| record_format | Article |
| series | Revista Espanola de Enfermedades Digestivas |
| spelling | doaj.art-f02f1f38cfd54a068fe117d50608c9c02022-12-22T01:42:47ZengAran EdicionesRevista Espanola de Enfermedades Digestivas1130-0108109216216410.17235/reed.2016.4260/2016S1130-01082017000200018Abrupt occlusion of right gastroepiploic artery as an angiographic evidence of gastrointestinal hemorrhageZhongzhi Jia0J. Mark McKinney1Ricardo Paz-Fumagalli2Ray K. Bradford3Weiping Wang4No 2 People´s Hospital of ChangzhouMayo ClinicMayo ClinicMayo ClinicMayo ClinicAngiography plays an important role in both diagnosis and treatment of gastrointestinal (GI) bleeding; however, the sensitivity is low for diagnosis. We report a case of a 38-year-old woman who presented with recurrent upper GI bleeding following central pancreatectomy. Multiple selective arteriograms failed to reveal any active bleeding or other common signs of bleeding. There was an abrupt occlusion of the right gastroepiploic artery initially interpreted to be a surgical ligation. Upon direct superselective injection near the occlusion, an area of frank contrast extravasation was demonstrated immediately beyond the occlusion. The underlying vessel was embolized with n-butyl cyanoacrylate without recurrent bleeding up to 3-month follow-up.http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082017000200018&lng=en&tlng=enGastrointestinalGastroepiploic arteryHemorrhageManagement |
| spellingShingle | Zhongzhi Jia J. Mark McKinney Ricardo Paz-Fumagalli Ray K. Bradford Weiping Wang Abrupt occlusion of right gastroepiploic artery as an angiographic evidence of gastrointestinal hemorrhage Revista Espanola de Enfermedades Digestivas Gastrointestinal Gastroepiploic artery Hemorrhage Management |
| title | Abrupt occlusion of right gastroepiploic artery as an angiographic evidence of gastrointestinal hemorrhage |
| title_full | Abrupt occlusion of right gastroepiploic artery as an angiographic evidence of gastrointestinal hemorrhage |
| title_fullStr | Abrupt occlusion of right gastroepiploic artery as an angiographic evidence of gastrointestinal hemorrhage |
| title_full_unstemmed | Abrupt occlusion of right gastroepiploic artery as an angiographic evidence of gastrointestinal hemorrhage |
| title_short | Abrupt occlusion of right gastroepiploic artery as an angiographic evidence of gastrointestinal hemorrhage |
| title_sort | abrupt occlusion of right gastroepiploic artery as an angiographic evidence of gastrointestinal hemorrhage |
| topic | Gastrointestinal Gastroepiploic artery Hemorrhage Management |
| url | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082017000200018&lng=en&tlng=en |
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