Upper gastrointestinal bleeding with embolisation

Case contributed by RMH Core Conditions

Presentation

Bleeding post D1 ulcer. Two attempts at clipping. Ongoing melaena, decreasing Hb and increasing norad.

Patient Data

Age: 46
Gender: Male
DSA (angiography)

The GDA was selected with 5Fr Cobra. The bleeding point was identified inferior to the endoluminal clips. A Progreat catheter was used to selectively explore GDA branches and isolate the appropriate feeders. A large extravasation was evident inferior to the clips. Occlusion with 0.18 fibred coils. Post procedural angiography demonstrated no residual extravasation.

PlayAdd to Share

Case information

rID: 28576
Case created: 31st Mar 2014
Last edited: 9th Sep 2015
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.