Hong Seok Jin, Lee Sang Min, Choi Ho Cheol, Won Jung Ho, Na Jae Boem, Kim Ji Eun, Choi Hye Young
Taehan Yongsang Uihakhoe Chi. 2021 Jan;82(1):237-243. doi: 10.3348/jksr.2020.0074. Epub 2020 Dec 15.
This is a rare case of a 73-year-old male patient who presented with hematochezia and was treated using transcatheter arterial embolization following upper gastrointestinal bleeding in the third portion of the duodenum. The cause of the bleeding was not found on gastrointestinal endoscopy and CT. On the third day of hospitalization, the hemoglobin level continued to decrease. A technetium-99m-labeled red blood cell scan revealed suspicious bleeding in the diverticulum of the third portion of the duodenum. Superior mesenteric artery angiography showed active bleeding from the posteroinferior pancreaticoduodenal artery, which was embolized with N-butyl cyanoacrylate. The patient was discharged on the seventh day after embolization without re-bleeding or complication. We report a rare case of a patient with active bleeding from a duodenal diverticulum that was difficult to diagnose using routine modalities. Herein, we report a rare case of a patient with active bleeding from a duodenal diverticulum that was difficult to diagnose using routine modalities. We also conducted a relavant literature review.
这是一例罕见的73岁男性患者,该患者出现便血,在十二指肠第三部上消化道出血后接受了经导管动脉栓塞治疗。在胃肠内镜检查和CT检查中均未发现出血原因。住院第三天,血红蛋白水平持续下降。锝-99m标记红细胞扫描显示十二指肠第三部憩室有可疑出血。肠系膜上动脉血管造影显示胰十二指肠后下动脉有活动性出血,用氰基丙烯酸正丁酯进行了栓塞。患者在栓塞后第七天出院,未再出血或出现并发症。我们报告了一例罕见的十二指肠憩室活动性出血患者,该患者难以通过常规方式诊断。在此,我们报告了一例罕见的十二指肠憩室活动性出血患者,该患者难以通过常规方式诊断。我们还进行了相关文献综述。