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 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.
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Digital revista |
| Language: | English |
| Published: |
Sociedad Española de Patología Digestiva
2017
|
| Online Access: | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082017000200018 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| id |
oai:scielo:S1130-01082017000200018 |
|---|---|
| record_format |
ojs |
| spelling |
oai:scielo:S1130-010820170002000182017-06-01Abrupt occlusion of right gastroepiploic artery as an angiographic evidence of gastrointestinal hemorrhageJia,ZhongzhiMcKinney,J. MarkPaz-Fumagalli,RicardoBradford,Ray K.Wang,Weiping Gastrointestinal Gastroepiploic artery Hemorrhage Management 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.Sociedad Española de Patología DigestivaRevista Española de Enfermedades Digestivas v.109 n.2 20172017-02-01journal articletext/htmlhttp://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082017000200018en |
| institution |
SCIELO |
| collection |
OJS |
| country |
España |
| countrycode |
ES |
| component |
Revista |
| access |
En linea |
| databasecode |
rev-scielo-es |
| tag |
revista |
| region |
Europa del Sur |
| libraryname |
SciELO |
| language |
English |
| format |
Digital |
| author |
Jia,Zhongzhi McKinney,J. Mark Paz-Fumagalli,Ricardo Bradford,Ray K. Wang,Weiping |
| spellingShingle |
Jia,Zhongzhi McKinney,J. Mark Paz-Fumagalli,Ricardo Bradford,Ray K. Wang,Weiping Abrupt occlusion of right gastroepiploic artery as an angiographic evidence of gastrointestinal hemorrhage |
| author_facet |
Jia,Zhongzhi McKinney,J. Mark Paz-Fumagalli,Ricardo Bradford,Ray K. Wang,Weiping |
| author_sort |
Jia,Zhongzhi |
| title |
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_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_sort |
abrupt occlusion of right gastroepiploic artery as an angiographic evidence of gastrointestinal hemorrhage |
| 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. |
| publisher |
Sociedad Española de Patología Digestiva |
| publishDate |
2017 |
| url |
http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082017000200018 |
| work_keys_str_mv |
AT jiazhongzhi abruptocclusionofrightgastroepiploicarteryasanangiographicevidenceofgastrointestinalhemorrhage AT mckinneyjmark abruptocclusionofrightgastroepiploicarteryasanangiographicevidenceofgastrointestinalhemorrhage AT pazfumagalliricardo abruptocclusionofrightgastroepiploicarteryasanangiographicevidenceofgastrointestinalhemorrhage AT bradfordrayk abruptocclusionofrightgastroepiploicarteryasanangiographicevidenceofgastrointestinalhemorrhage AT wangweiping abruptocclusionofrightgastroepiploicarteryasanangiographicevidenceofgastrointestinalhemorrhage |
| _version_ |
1755938738847875072 |