Upper gastrointestinal bleeding with embolization

Case contributed by RMH Core Conditions
Diagnosis certain

Presentation

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

Patient Data

Age: 46
Gender: Male

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.

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