ID 110192
Title Transcription
ジュウニシチョウ カコウキャク ニ ハッセイシタ タハツセイ シュッケツセイ ジュウニシチョウ カイヨウ ノ 1レイ
Title Alternative
A case of multiple hemorrhagic ulcers of the descending duodenum
Author
Yoshida, Takahiro Department of Oncological and Regenerative Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Gotou, Masakazu Department of Oncological and Regenerative Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Yamai, Hiromichi Department of Oncological and Regenerative Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School
Seike, Junichi Department of Oncological and Regenerative Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School
Honda, Junko Department of Oncological and Regenerative Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School
Tangoku, Akira Department of Oncological and Regenerative Surgery, Institute of Health Biosciences, The University of Tokushima Graduate School Tokushima University Educator and Researcher Directory KAKEN Search Researchers
Keywords
duodenal ulcer
transcatheter arterial embolization
Content Type
Journal Article
Description
We report a case of multiple hemorrhagic ulcers of the descending duodenum treated successfullysurgical suture and endoscopic clipping after transcatheter arterial embolization(TAE). A50 level year-old man was treated in intensive care unit because of multiple organ failure by MRSAinfection after operation of ulcerative colitis. Massive intermittent melena from ileostomy wasoccurred and an endoscopic examination revealed mucosal erosion with massive bleeding from theVater’s papilla. Emergency abdominal angiography was performed because the condition of thepatients was poor. Angiography of common hepatic artery and gastroduodenal artery didn’tshow extravasation. An extravasation of the inferior pancreaticoduodenal artery was revealedand a hemostasis was performed with metal coil embolization. But the hemorrhage occurred repeatedlythree days after TAE. We embolized the gastroduodenal artery and the pancreaticoduonenalartery. We performed surgery after three times TAE. We identified the duodenalulcer with an exposed blood vessel beside the Vater’s papilla and complete hemostasis wasachieved by suturing ulcer through the incision of the anterior wall of the duodenum. The otherhemorrhagic duodenal ulcer of the 2nd portion occurred 25 days after the operation, and this hemorrhagecould be treated by the endoscopic hemostasis using clip.
Journal Title
四国医学雑誌
ISSN
00373699
NCID
AN00102041
Publisher
徳島医学会
Volume
63
Issue
3-4
Start Page
157
End Page
161
Sort Key
157
Published Date
2007-08-25
FullText File
language
jpn
TextVersion
Publisher
departments
University Hospital
Medical Sciences