Author:
Sanda Hiroki H,Kawai Nobuyuki N,Sato Morio M,Tanaka Fumihiro F,Nakata Kouhei K,Minamiguchi Hiroki H,Nakai Motoki M,Sonomura Tetsuo T
Abstract
Abstract
We present a case of endoscopically unmanageable hemorrhagic diverticulum in the ascending duodenum. The ventral and dorsal walls of the ascending duodenum were supplied from the first jejunal artery (1JA) and inferior pancreaticoduodenal artery (IPDA), respectively. The hemorrhage mainly occurred from IPDA. The abruptly branching of IPDA from superior mesenteric artery enabled successful catheterization of the IPDA with an angled microcatheter. Hemostasis was obtained by embolization using n-butyl cyanoacrylate. Gastroendoscopy depicted a duodenal hemi-circumferential ulcer. No symptoms related to hemorrhage were found at the last follow-up at 12 months.
Publisher
Springer Science and Business Media LLC
Reference11 articles.
1. Balkissoon J, Balkssoon B, Leffall LD, Posey DA: Massive upper gastrointestinal bleeding in a patient with a duodenal diverticulum: a case report and review of the literature. J Natl Med Assoc 1992, 84: 365-367.
2. Dumonceau JM, Deviere J, Cremer M: A new method of achieving deep cannulation of the common bile duct during endoscopic retrograde cholangio-pancreatography. Endoccopy 1998, 30: S80.
3. Federle MP, Jeffrey RB, Woodward PJ, Borhani AA Abdomen. In Diagnostic Imaging. 2nd edition. Amirsys, Salt Lake; 2010. Section 4, II-4-2
4. Ikoma A, Kawai N, Sato M, et al.: Ischemic effects of transcatheter arterial embolization with n-butyl cyanoacrylate-lipiodol on the colon in a swine model. Cardiovasc Intervent Radiol 2010, 33: 1009-1015. 10.1007/s00270-010-9867-1
5. Jae HJ, Chung JW, Kim HC, et al.: Experimental study on acute ischemic small bowel changes induced by superselective embolization of superior mesenteric artery branches with n-butyl cyanoacrylate. J Vasc Interv Radiol 2008, 19: 755-763. 10.1016/j.jvir.2008.01.024
Cited by
2 articles.
订阅此论文施引文献
订阅此论文施引文献，注册后可以免费订阅5篇论文的施引文献，订阅后可以查看论文全部施引文献