Gastrointestinal bleeding from supraduodenal artery with aberrant origin

Qiong Han, MD, PhD; Chenghao Qian, BS; Gaby Gabriel, MD; Steven Krohmer, MD; Driss Raissi, MD

doi:10.1016/j.radcr.2017.04.005

Radiology Case Reports (Sep 2017)

Gastrointestinal bleeding from supraduodenal artery with aberrant origin

Qiong Han, MD, PhD,
Chenghao Qian, BS,
Gaby Gabriel, MD,
Steven Krohmer, MD,
Driss Raissi, MD

Affiliations

Qiong Han, MD, PhD: Department of Radiology, University of Kentucky, HX 315, 800 Rose Street, Lexington, KY 40506, USA
Chenghao Qian, BS: College of Medicine, University of Kentucky, Lexington, KY 40506, USA
Gaby Gabriel, MD: Department of Radiology, University of Kentucky, HX 315, 800 Rose Street, Lexington, KY 40506, USA
Steven Krohmer, MD: Department of Radiology, University of Kentucky, HX 315, 800 Rose Street, Lexington, KY 40506, USA
Driss Raissi, MD: Department of Radiology, University of Kentucky, HX 315, 800 Rose Street, Lexington, KY 40506, USA

DOI: https://doi.org/10.1016/j.radcr.2017.04.005
Journal volume & issue: Vol. 12, no. 3
pp. 526 – 528

Abstract

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Angiography and endovascular embolization play an important role in controlling acute arterial upper gastrointestinal hemorrhage, particularly when endoscopic intervention fails to do so. In our case, the patient presented with recurrent life-threatening bleed in spite of multiple prior endoscopic interventions and gastroduodenal artery embolization. Our teaching points focus on the role of angiography in acute upper gastrointestinal bleed and when to conduct empiric embolization, while reviewing the supraduodenal artery as an atypical but important potential culprit for refractory upper gastrointestinal bleed.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

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