Year 2017 / Volume 109 / Number 2
Case Report
Abrupt occlusion of right gastroepiploic artery as an angiographic evidence of gastrointestinal hemorrhage

162-164

DOI: 10.17235/reed.2016.4260/2016

Zhongzhi Jia, J. Mark McKinney, Ricardo Paz-Fumagalli, Ray K. Bradford, Weiping Wang,

Abstract
Angiography plays an important role in both diagnosis and treatment of gastrointestinal (GI) bleeding; however, the sensitivity is low for diagnosis. We report a case of a 38-year-old woman who presented with recurrent upper GI bleeding following central pancreatectomy. Multiple selective arteriograms failed to reveal any active bleeding or other common signs of bleeding. There was an abrupt occlusion of the right gastroepiploic artery initially interpreted to be a surgical ligation. Upon direct superselective injection near the occlusion, an area of frank contrast extravasation was demonstrated immediately beyond the occlusion. The underlying vessel was embolized with n-butyl cyanoacrylate without recurrent bleeding up to 3-month follow-up.
Share Button
New comment
Comments
No comments for this article
References
1. Vachhani PG, Copelan A, Remer EM, et al. Iatrogenic hepatopancreaticobiliary injuries: a review. Semin Intervent Radiol. 2015;32:182-94.
2. Guneyli S, Gok M, Cinar C, et al. Imaging findings and endovascular management of iatrogenic hepatic arterial injuries. Diagn Interv Radiol.. 2015;21:494-7.
3. Vernava A, 3rd., Moore BA, Longo WE, et al. Lower gastrointestinal bleeding. Dis Colon Rectum. 1997;40:846-58.
4. Kim BS, Li BT, Engel A, et al. Diagnosis of gastrointestinal bleeding: A practical guide for clinicians. World J Gastrointest Pathophysiol.. 2014;5:467-78.
5. Zuckerman DA, Bocchini TP, Birnbaum EH. Massive hemorrhage in the lower gastrointestinal tract in adults: diagnostic imaging and intervention. AJR Am J Roentgenol. 1993;161:703-11.
6. Browder W, Cerise EJ, Litwin MS. Impact of emergency angiography in massive lower gastrointestinal bleeding. Ann Surg. 1986;204:530-6.
7. Pennoyer WP, Vignati PV, Cohen JL. Mesenteric angiography for lower gastrointestinal hemorrhage: are there predictors for a positive study. Dis Colon Rectum. 1997;40:1014-8.
8. Zhou CG, Shi HB, Liu S, et al. Transarterial embolization for massive gastrointestinal hemorrhage following abdominal surgery. World journal of gastroenterology. 2013;19:6869-75.
9. Chen YT, Sun HL, Luo JH, et al. Interventional digital subtraction angiography for small bowel gastrointestinal stromal tumors with bleeding. World J Gastroenterol. 2014;20:17955-61.
10. Miller M, Jr., Smith TP. Angiographic diagnosis and endovascular management of nonvariceal gastrointestinal hemorrhage. Gastroenterol Clin North Am. 2005;34:735-52.
Related articles

Letter

Blue rubber bleb nevus syndrome

DOI: 10.17235/reed.2023.9913/2023

Editorial

Treatment of portal vein thrombosis in cirrhosis patients

DOI: 10.17235/reed.2023.9800/2023

Letter

The role of gastrointestinal endoscopy in Kaposi sarcoma

DOI: 10.17235/reed.2023.9534/2023

Letter

Intestinal pneumatosis as a manifestation of systemic sclerosis

DOI: 10.17235/reed.2023.9428/2022

Digestive Diseases Image

Germ cell tumor with duodenal involvement: a rare case of gastrointestinal bleeding

DOI: 10.17235/reed.2022.9327/2022

Letter

A rare endoscopic finding: primary esophageal melanoma

DOI: 10.17235/reed.2022.9244/2022

Letter

A rare cause of obscure gastrointestinal bleeding

DOI: 10.17235/reed.2022.9156/2022

Letter

Weil syndrome coincident with upper gastrointestinal bleeding

DOI: 10.17235/reed.2022.9086/2022

Letter

A full hemostatic repertoire in a complex cirrhotic patient

DOI: 10.17235/reed.2022.9039/2022

Letter

Hemostasis of a bleeding inverted colonic diverticulum

DOI: 10.17235/reed.2022.9019/2022

Letter

GIST is not all that it seems

DOI: 10.17235/reed.2022.8974/2022

Letter

Primary intestinal melanoma?

DOI: 10.17235/reed.2022.8944/2022

Letter

Intestinal amyloidosis: a diagnostic challenge

DOI: 10.17235/reed.2022.8934/2022

Digestive Diseases Image

Gastrointestinal infection by Mycobacterium avium with an unusual endoscopic presentation

DOI: 10.17235/reed.2022.8845/2022

Letter

A rare cause of a bulging mass in the mid esophagus

DOI: 10.17235/reed.2022.8834/2022

Digestive Diseases Image

Colonic Kaposi’s sarcoma as the first clinical manifestation of undiagnosed HIV

DOI: 10.17235/reed.2022.8717/2022

Letter

A rare gastrointestinal tumor: primary gastric melanoma

DOI: 10.17235/reed.2022.8715/2022

Digestive Diseases Image

Ileal neuroendocrine tumor as an uncommon cause of obscure gastrointestinal bleeding

DOI: 10.17235/reed.2022.8641/2022

Editorial

Acute pancreatitis: an opportunity for gastroenterology hospitalists?

DOI: 10.17235/reed.2022.8573/2022

Digestive Diseases Image

Bezoar: an uncommon cause of upper gastrointestinal bleeding

DOI: 10.17235/reed.2021.8311/2021

Digestive Diseases Image

Kaposi’s sarcoma with atypical gastrointestinal involvement

DOI: 10.17235/reed.2021.8275/2021

Letter

COVID-19 and aorto-enteric fistula

DOI: 10.17235/reed.2021.8272/2021

Digestive Diseases Image

A case of duodenal-type follicular lymphoma

DOI: 10.17235/reed.2021.8233/2021

Digestive Diseases Image

Ink stained gastric lesions: a rare cause of gastrointestinal bleeding

DOI: 10.17235/reed.2021.8141/2021

Digestive Diseases Image

Abdominal cocoon sign: an unusual cause of intestinal obstruction

DOI: 10.17235/reed.2021.8057/2021

Review

Practical management of primary biliary cholangitis

DOI: 10.17235/reed.2021.8219/2021

Letter

Pneumatosis intestinalis in anorexia nervosa

DOI: 10.17235/reed.2021.8013/2021

Digestive Diseases Image

Gastric plasmacytoma: a rare cause of upper gastrointestinal bleeding

DOI: 10.17235/reed.2021.7816/2021

Letter

Bochdalek hernia: use of capsule endoscopy

DOI: 10.17235/reed.2021.7760/2020

Letter

Basic training in gastrointestinal endoscopy: recording images

DOI: 10.17235/reed.2020.7385/2020

Editorial

Reflex testing. A key tool for the elimination of hepatitis C

DOI: 10.17235/reed.2020.7201/2020

Letter

Chronic intestinal pseudo-obstruction in MELAS

DOI: 10.17235/reed.2020.7099/2020

Letter

Gastric ulcer due to mucormycosis in a critical patient

DOI: 10.17235/reed.2020.6636/2019

Digestive Diseases Image

Secondary gastroduodenal plasmacytoma in a patient with multiple myeloma

DOI: 10.17235/reed.2019.5923/2018

Digestive Diseases Image

Dysphagia and hematemesis caused by an intramural esophageal dissection

DOI: 10.17235/reed.2018.5471/2018

Letter to the Editor

EUS-guided ethanol ablation therapy for gastric stromal tumors

DOI: 10.17235/reed.2017.5361/2017

Letter to the Editor

Inverted Meckel’s diverticulum in an adult patient diagnosed via capsule endoscopy

DOI: 10.17235/reed.2018.5347/2017

Letter to the Editor

Severe obscure gastrointestinal bleeding successfully treated with idarucizumab

DOI: 10.17235/reed.2018.5298/2017

Letter to the Editor

Gangliocytic paraganglioma: an unusual cause of upper gastrointestinal bleeding

DOI: 10.17235/reed.2017.4808/2016

Letter to the Editor

Acute transverse colon volvulus with secondary gastric isquemia. Case report

DOI: 10.17235/reed.2016.4024/2015

Letter to the Editor

Gastric neuroendocrine tumor presenting with gastrointestinal bleeding

DOI: 10.17235/reed.2015.3998/2015

Case Report

Appendicular bleeding: an excepcional cause of lower hemorrhage

DOI: 10.17235/reed.2015.3828/2015

Digestive Diseases Image

Granular cell tumor of cecum

Letter to the Editor

STOMAL VARICES: AN UNUSUAL CAUSE OF BLEEDING IN PATIENTS WITH PORTAL HYPERTENSION

DOI: 10.17235/reed.2015.3707/2015

Case Report

Downhill varices: an uncommon cause of upper gastrointestinal bleeding

DOI: 10.17235/reed.2015.3697/2015

Letter to the Editor

Duodenal involvement by seminomatous tumors

DOI: 10.17235/reed.2015.3646/2014

Letter to the Editor

Leiomyosarcoma of the ascending colon: a rare tumor with poor prognosis

DOI: 10.17235/reed.2015.3606/2014

Citation tools
Jia Z, McKinney J, Paz-Fumagalli R, Bradford R, Wang W. Abrupt occlusion of right gastroepiploic artery as an angiographic evidence of gastrointestinal hemorrhage. 4260/2016


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 90 visits.
This article has been downloaded 34 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 09/02/2016

Accepted: 31/03/2016

Online First: 08/04/2016

Published: 31/01/2017

Article revision time: 50 days

Article Online First time: 59 days

Article editing time: 357 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology