Upper gastrointestinal bleeding with embolization

Case contributed by RMH Core Conditions


Bleeding post D1 ulcer. Two attempts at clipping. Ongoing melena, 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.

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Case information

rID: 28576
Published: 1st Apr 2014
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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