Catastrophic Bleeding From Gastroduodenal Artery After Whipple Procedure Managed With Resuscitative Endovascular Balloon Occlusion of the Aorta.
| Autor: | Samlowski E; Department of Surgery, Creighton University Medical Center at Bergan Mercy, Omaha, NE., Okwuosa C; Department of Surgery, Creighton University Medical Center at Bergan Mercy, Omaha, NE., Tashjian N; Department of Surgery, Creighton University Medical Center at Bergan Mercy, Omaha, NE., Wagner M; Department of Surgery, Creighton University Medical Center at Bergan Mercy, Omaha, NE. |
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| Jazyk: | angličtina |
| Zdroj: | ACG case reports journal [ACG Case Rep J] 2019 Nov 27; Vol. 6 (11), pp. e00283. Date of Electronic Publication: 2019 Nov 27 (Print Publication: 2019). |
| DOI: | 10.14309/crj.0000000000000283 |
| Abstrakt: | Resuscitative endovascular balloon occlusion of the aorta (REBOA) is designed to control traumatic intra-abdominal or pelvic hemorrhage. There are few case reports of REBOA use in nontraumatic gastrointestinal (GI) hemorrhage. A 53-year-old man with pancreatic cancer status post Whipple procedure presented with GI hemorrhage from the gastroduodenal artery. Endoscopy and angioembolization were unsuccessful at stopping the hemorrhage. REBOA was used to stabilize the patient until definitive surgical control. REBOA is a potentially lifesaving measure in cases of massive abdominal or pelvic hemorrhage. REBOA can be used as an adjunct in unstable patients with GI bleeding until definitive GI, interventional radiology, or surgical control. (© 2019 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.) |
| Databáze: | MEDLINE |
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