- Tytuł:
- Recurrent upper gastrointestinal bleed in a 26 year old female
- Autorzy:
-
Heavener, T.
Patel, P.
Garner, J.
Sing, J.
Jeffries, M.
Thomas, H.J. - Powiązania:
- https://bibliotekanauki.pl/articles/1918636.pdf
- Data publikacji:
- 2018-06-21
- Wydawca:
- Uniwersytet Medyczny w Białymstoku
- Tematy:
-
Anemia
coil migration
endoscopy - Opis:
- According to recent society guidelines, upper gastrointestinal bleed initial approach includes assessment of hemodynamic status, fluid resuscitation if necessary, transfusion strategy to target hemoglobin above 7 (g/dL), use of intravenous proton pump inhibitor and generally upper endoscopy within 24 hours. We present a case of a 26-year-old woman who sought treatment after one episode of hematemesis and pre-syncope. She had a similar presentation three months earlier and received interventional radiology-guided mesenteric angiography and the use of multiple coils to embolize a 1.5-cm deep punched-out duodenal ulcer. Migration of the coil was noted on endoscopy within the previously described ulcer. Coil migration is expected to occur in up to 3% of cases of endovascular embolization. However, migration into the duodenum is uncommon and could have actually been a contributing factor to the current bleed.
- Źródło:
-
Progress in Health Sciences; 2018, 8(1); 231-233
2083-1617 - Pojawia się w:
- Progress in Health Sciences
- Dostawca treści:
- Biblioteka Nauki
Artykuł