Upper gastrointestinal bleeding related to an eroded gastrosplenic collateral lately after splenic artery embolization

BACKGROUND: Upper gastrointestinal, non-variceal haemorrhage can be related to various etiologies, including peptic ulcer, neoplasm, gastritis, Dieulafoy lesions and other, rare underlying diseases. Here, we describe another, yet unreported etiology of gastric bleeding. CASE PRESENTATION: A 49-year-...

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Autores principales: Van Thillo, Anna, Buyck, Pieter-Jan, Van Gool, Stijn, Croonen, Cléo, Maleux, Geert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer International Publishing 2022
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391536/
https://www.ncbi.nlm.nih.gov/pubmed/35986198
http://dx.doi.org/10.1186/s42155-022-00322-1
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author Van Thillo, Anna
Buyck, Pieter-Jan
Van Gool, Stijn
Croonen, Cléo
Maleux, Geert
author_facet Van Thillo, Anna
Buyck, Pieter-Jan
Van Gool, Stijn
Croonen, Cléo
Maleux, Geert
author_sort Van Thillo, Anna
collection PubMed
description BACKGROUND: Upper gastrointestinal, non-variceal haemorrhage can be related to various etiologies, including peptic ulcer, neoplasm, gastritis, Dieulafoy lesions and other, rare underlying diseases. Here, we describe another, yet unreported etiology of gastric bleeding. CASE PRESENTATION: A 49-year-old man presented with melena; gastroscopy revealed blood in the stomach without active bleeding source. Computed tomography angiography demonstrated a cluster of enlarged gastrosplenic arterial collaterals in the gastric wall and coils in the splenic artery, related to an embolization procedure 30-years ago for splenic trauma. Definitive treatment included catheter-directed glue embolization of the left gastric artery and the enlarged gastrosplenic collaterals. The postinterventional course was uneventful and no recurrence of upper gastrointestinal bleeding was noted after 6 months of follow-up. CONCLUSIONS: Upper gastrointestinal bleeding associated with eroded gastrosplenic collaterals, related to previous splenic artery embolization, can be successfully treated with glue-embolization.
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spelling pubmed-93915362022-08-21 Upper gastrointestinal bleeding related to an eroded gastrosplenic collateral lately after splenic artery embolization Van Thillo, Anna Buyck, Pieter-Jan Van Gool, Stijn Croonen, Cléo Maleux, Geert CVIR Endovasc Case Report BACKGROUND: Upper gastrointestinal, non-variceal haemorrhage can be related to various etiologies, including peptic ulcer, neoplasm, gastritis, Dieulafoy lesions and other, rare underlying diseases. Here, we describe another, yet unreported etiology of gastric bleeding. CASE PRESENTATION: A 49-year-old man presented with melena; gastroscopy revealed blood in the stomach without active bleeding source. Computed tomography angiography demonstrated a cluster of enlarged gastrosplenic arterial collaterals in the gastric wall and coils in the splenic artery, related to an embolization procedure 30-years ago for splenic trauma. Definitive treatment included catheter-directed glue embolization of the left gastric artery and the enlarged gastrosplenic collaterals. The postinterventional course was uneventful and no recurrence of upper gastrointestinal bleeding was noted after 6 months of follow-up. CONCLUSIONS: Upper gastrointestinal bleeding associated with eroded gastrosplenic collaterals, related to previous splenic artery embolization, can be successfully treated with glue-embolization. Springer International Publishing 2022-08-19 /pmc/articles/PMC9391536/ /pubmed/35986198 http://dx.doi.org/10.1186/s42155-022-00322-1 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Case Report
Van Thillo, Anna
Buyck, Pieter-Jan
Van Gool, Stijn
Croonen, Cléo
Maleux, Geert
Upper gastrointestinal bleeding related to an eroded gastrosplenic collateral lately after splenic artery embolization
title Upper gastrointestinal bleeding related to an eroded gastrosplenic collateral lately after splenic artery embolization
title_full Upper gastrointestinal bleeding related to an eroded gastrosplenic collateral lately after splenic artery embolization
title_fullStr Upper gastrointestinal bleeding related to an eroded gastrosplenic collateral lately after splenic artery embolization
title_full_unstemmed Upper gastrointestinal bleeding related to an eroded gastrosplenic collateral lately after splenic artery embolization
title_short Upper gastrointestinal bleeding related to an eroded gastrosplenic collateral lately after splenic artery embolization
title_sort upper gastrointestinal bleeding related to an eroded gastrosplenic collateral lately after splenic artery embolization
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9391536/
https://www.ncbi.nlm.nih.gov/pubmed/35986198
http://dx.doi.org/10.1186/s42155-022-00322-1
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