可移动线圈
Migrating coil.
作者信息
Tey Kai Rou, Aggarwal Avin, Banerjee Bhaskar
机构信息
Department of Internal Medicine, University of Arizona College of Medicine, Tucson, Arizona, USA.
Department of Gastroenterology, University of Arizona College of Medicine, Tucson, Arizona, USA.
出版信息
BMJ Case Rep. 2017 Jan 27;2017:bcr2016218207. doi: 10.1136/bcr-2016-218207.
We describe a rare case of a 60-year-old man with known history of peptic ulcer disease who presented with melena and epigastric pain secondary to coil migration into duodenal mucosa 4 years after the initial therapeutic embolisation of the gastroduodenal artery. Upper endoscopy revealed oozing duodenal ulcer at the same site of the previously located duodenal ulcer 4 years ago and metal coil impacted at the duodenal mucosa. It is unclear if the coil migration is the effect or the cause of the bleeding duodenal ulcer. Our patient was treated by surgical intervention due to failed endoscopic haemostasis and medical management.
我们描述了一例罕见病例，一名60岁男性，有消化性溃疡病史，在胃十二指肠动脉首次治疗性栓塞4年后，因线圈迁移至十二指肠黏膜而出现黑便和上腹部疼痛。上消化道内镜检查发现，在4年前十二指肠溃疡的同一部位有渗血的十二指肠溃疡，金属线圈嵌顿在十二指肠黏膜处。目前尚不清楚线圈迁移是十二指肠溃疡出血的结果还是原因。由于内镜止血和药物治疗失败，我们的患者接受了手术干预。
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