Arterial supply to the bleeding diverticulum in the ascending duodenum treated by transcatheter arterial embolization— a duodenal artery branched from the inferior pancreaticoduodenal artery
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چکیده
We present a case of endoscopically unmanageable hemorrhagic diverticulum in the ascending duodenum. The ventral and dorsal walls of the ascending duodenum were supplied from the first jejunal artery (1JA) and inferior pancreaticoduodenal artery (IPDA), respectively. The hemorrhage mainly occurred from IPDA. The abruptly branching of IPDA from superior mesenteric artery enabled successful catheterization of the IPDA with an angled microcatheter. Hemostasis was obtained by embolization using n-butyl cyanoacrylate. Gastroendoscopy depicted a duodenal hemi-circumferential ulcer. No symptoms related to hemorrhage were found at the last follow-up at 12 months.
منابع مشابه
Duodenal Diverticular Bleeding Successfully Treated Using Transcatheter Arterial Embolization: a case report
We present a case of an 82-year-old man with duodenal diverticular bleeding (DDB) who was successfully treated using transcatheter arterial embolization (TAE). Initially, endoscopy results indicated duodenal bleeding; however, the exact bleeding site could not be located. A follow-up computed tomography (CT) scan revealed contrast extravasation from a periampullary duodenal diverticulum. Repeat...
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Department of Radiology, Seoul National University Boramae Hospital Received June 24, 2006 ; Accepted November 17, 2006 Address reprint requests to : Young Ho Choi, M.D., Department of Radiology, Seoul National University Boramae Hospital 425 Shindaebang-2-dong, Dongjak-gu, Seoul 156-707, Korea Tel. 82-2-840-2671 Fax. 82-2-831-2826 E-mail: [email protected] Purpose: Various embolic age...
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