A Case of Gastric Ulcer Bleeding by Direct Connection to the Splenic Artery.
10.7704/kjhugr.2014.14.3.211
- Author:
Pil Kyu JANG
1
;
Yoon Jae KIM
;
Dong Kyun PARK
;
Jung Yoon HAN
;
Pyung Hwa PARK
;
Si Hun KIM
;
Hyun Sun WOO
;
Jeong Ho KIM
Author Information
1. Department of Internal Medicine, Gachon University Gil Medical Center, Incheon, Korea. yoonmed@gachon.ac.kr
- Publication Type:Case Report
- Keywords:
Splenic artery;
Stomach ulcer
- MeSH:
Aged;
Angiography;
Biopsy;
Constriction, Pathologic;
Contrast Media;
Emergencies;
Enbucrilate;
Endoscopy;
Ethiodized Oil;
Follow-Up Studies;
Hemorrhage*;
Humans;
Male;
Splenic Artery*;
Stomach Ulcer*;
Ulcer;
Vital Signs
- From:The Korean Journal of Helicobacter and Upper Gastrointestinal Research
2014;14(3):211-214
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Gastric ulcer bleeding is commonly encountered in emergency situations for gastroenterologist. Usually depth of gastric ulcer does not exceed the muscle layer. We report a case of a 67-year-old male with massive gastric ulcer bleeding caused by direct connection to the splenic artery. Bleeding control was not effectively performed by endoscopy due to massive bleeding with unstable vital sign. Angiography for embolization was performed. Active extravasation of contrast agents at the splenic artery stenosis was noted on splenic arteriogram. Bleeding stopped after embolization with histoacryl and lipiodol was successfully performed. After 1 month, complete ulcer healing was confirmed by follow up endoscopy. There was no evidence of invasive disease on biopsy.
