Naga Yassin, Jayaraj Mahendran, Elmofti Yousif, Hong Annie, Ohning Gordon
Internal Medicine, University of Nevada Las Vegas School of Medicine, Las Vegas, USA.
Gastroenterology, University of Nevada Las Vegas School of Medicine, Las Vegas, USA.
Cureus. 2021 Apr 21;13(4):e14615. doi: 10.7759/cureus.14615.
Transarterial angiographic embolization is a highly effective, safe treatment for non-variceal upper gastrointestinal bleeding refractory to endoscopic intervention. However, intraluminal coil migration is a possible complication. Coil migration, while usually a self-limiting process, can lead to significant rebleeding. In our case, a patient presented with a life-threatening duodenal ulcer hemorrhage, likely precipitated by intraluminal endovascular coil migration after a recent gastro-duodenal artery embolization. He was successfully managed without endoscopic coil removal and had no additional gastrointestinal bleeding. It is important for endoscopists to be aware of this complication and weigh the risks and benefits of coil removal.
经动脉血管造影栓塞术是治疗内镜干预难以控制的非静脉曲张性上消化道出血的一种高效、安全的治疗方法。然而，腔内线圈移位是一种可能的并发症。线圈移位虽然通常是一个自限性过程，但可导致严重的再次出血。在我们的病例中，一名患者出现危及生命的十二指肠溃疡出血，可能是由于近期胃十二指肠动脉栓塞术后腔内血管内线圈移位所致。他在未进行内镜下取出线圈的情况下成功得到治疗，且未再发生胃肠道出血。内镜医师了解这种并发症并权衡取出线圈的风险和益处非常重要。
