Arterial supply to the bleeding diverticulum in the ascending duodenum treated by transcatheter arterial embolization— a duodenal artery branched from the inferior pancreaticoduodenal artery

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 f...

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Autores principales: Sanda, Hiroki H, Kawai, Nobuyuki N, Sato, Morio M, Tanaka, Fumihiro F, Nakata, Kouhei K, Minamiguchi, Hiroki H, Nakai, Motoki M, Sonomura, Tetsuo T
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2014
Materias:
Case Study
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4320237/
https://www.ncbi.nlm.nih.gov/pubmed/25674424
http://dx.doi.org/10.1186/2193-1801-3-17
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author Sanda, Hiroki H
Kawai, Nobuyuki N
Sato, Morio M
Tanaka, Fumihiro F
Nakata, Kouhei K
Minamiguchi, Hiroki H
Nakai, Motoki M
Sonomura, Tetsuo T
author_facet Sanda, Hiroki H
Kawai, Nobuyuki N
Sato, Morio M
Tanaka, Fumihiro F
Nakata, Kouhei K
Minamiguchi, Hiroki H
Nakai, Motoki M
Sonomura, Tetsuo T
author_sort Sanda, Hiroki H
collection PubMed
description 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.
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spelling pubmed-43202372015-02-11 Arterial supply to the bleeding diverticulum in the ascending duodenum treated by transcatheter arterial embolization— a duodenal artery branched from the inferior pancreaticoduodenal artery Sanda, Hiroki H Kawai, Nobuyuki N Sato, Morio M Tanaka, Fumihiro F Nakata, Kouhei K Minamiguchi, Hiroki H Nakai, Motoki M Sonomura, Tetsuo T Springerplus Case Study 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. Springer International Publishing 2014-01-09 /pmc/articles/PMC4320237/ /pubmed/25674424 http://dx.doi.org/10.1186/2193-1801-3-17 Text en © Sanda et al.; licensee Springer. 2014 This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Study
Sanda, Hiroki H
Kawai, Nobuyuki N
Sato, Morio M
Tanaka, Fumihiro F
Nakata, Kouhei K
Minamiguchi, Hiroki H
Nakai, Motoki M
Sonomura, Tetsuo T
Arterial supply to the bleeding diverticulum in the ascending duodenum treated by transcatheter arterial embolization— a duodenal artery branched from the inferior pancreaticoduodenal artery
title Arterial supply to the bleeding diverticulum in the ascending duodenum treated by transcatheter arterial embolization— a duodenal artery branched from the inferior pancreaticoduodenal artery
title_full Arterial supply to the bleeding diverticulum in the ascending duodenum treated by transcatheter arterial embolization— a duodenal artery branched from the inferior pancreaticoduodenal artery
title_fullStr Arterial supply to the bleeding diverticulum in the ascending duodenum treated by transcatheter arterial embolization— a duodenal artery branched from the inferior pancreaticoduodenal artery
title_full_unstemmed Arterial supply to the bleeding diverticulum in the ascending duodenum treated by transcatheter arterial embolization— a duodenal artery branched from the inferior pancreaticoduodenal artery
title_short Arterial supply to the bleeding diverticulum in the ascending duodenum treated by transcatheter arterial embolization— a duodenal artery branched from the inferior pancreaticoduodenal artery
title_sort arterial supply to the bleeding diverticulum in the ascending duodenum treated by transcatheter arterial embolization— a duodenal artery branched from the inferior pancreaticoduodenal artery
topic Case Study
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4320237/
https://www.ncbi.nlm.nih.gov/pubmed/25674424
http://dx.doi.org/10.1186/2193-1801-3-17
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