Recurrent upper gastrointestinal bleed in a 26 year old female

• Authors: Heavener, T , Patel, P , Garner, J , Sing, J , Jeffries, M , Thomas, HJ

Abstracts

EN

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.

Keywords

EN

Anemia; coil migration; endoscopy

• Publisher: Uniwersytet Medyczny w Białymstoku
• Journal: Progress in Health Sciences
• Year: 2018
• Volume: 8(1)
• Pages: 231-233

Dates

published

2018-06-21

Contributors

author

Heavener, T

author

Patel, P

author

Garner, J

author

Sing, J

author

Jeffries, M

author

Thomas, HJ

Identifiers

DOI

10.5604/01.3001.0012.1336