Transcatheter Arterial Embolization for Bleeding From the Proper Hepatic Artery Caused by a Duodenal Ulcer: A Case Report.
| Autor: | Imaeda M; Department of Radiology, Tenri Hospital, Tenri, JPN., Onishi Y; Department of Diagnostic Imaging and Nuclear Medicine, Kyoto University, Kyoto, JPN., Nagatomo S; Department of Gastroenterology, Tenri Hospital, Tenri, JPN., Minami R; Department of Gastroenterology, Tenri Hospital, Tenri, JPN., Taniguchi T; Department of Radiology, Tenri Hospital, Tenri, JPN. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Jul 04; Vol. 16 (7), pp. e63822. Date of Electronic Publication: 2024 Jul 04 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.63822 |
| Abstrakt: | Although bleeding is the most common complication of peptic ulcer disease, bleeding from the proper hepatic artery is unusual. We report on the case of an 87-year-old woman who presented with melena. An upper endoscopy was performed for a bleeding duodenal ulcer; however, the bleeding could not be controlled. A careful assessment using contrast-enhanced computed tomography (CT) demonstrated that the bleeding source was the proper hepatic artery. Transcatheter arterial embolization of the proper hepatic artery was successfully performed. This case highlights the importance of careful assessment using contrast-enhanced CT to identify the source of bleeding. Endovascular treatment is the first choice of treatment for patients with bleeding from large arteries. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Imaeda et al.) |
| Databáze: | MEDLINE |
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