Shim Esther H, Lydon Ryan, Hyon Stephanie S, Plummer Robert J, Lee Thomas Y, Ginsberg Hal
Department of Surgery, Morristown Medical Center, Morristown, NJ.
Department of Vascular Surgery, Rochester Regional Health, Rochester, NJ.
J Vasc Surg Cases Innov Tech. 2025 Feb 11;11(3):101750. doi: 10.1016/j.jvscit.2025.101750. eCollection 2025 Jun.
Upper gastrointestinal bleeding is a serious condition often linked to peptic ulcer disease, contributing to significant morbidity and mortality. A 78-year-old male presented with upper gastrointestinal bleeding that required blood product transfusions despite multiple endoscopic interventions. Although embolization or surgical ligation of the gastroduodenal artery was considered, angiography revealed celiac trunk occlusion, which would increase the risk of hepatic ischemia. Recanalization and stenting of the celiac trunk was performed, facilitating successful embolization of the gastroduodenal artery. This case illustrates the importance of considering anatomical variations and patient risk factors for visceral arterial occlusions, reducing morbidity and mortality.
上消化道出血是一种严重疾病，常与消化性溃疡病相关，会导致显著的发病率和死亡率。一名78岁男性出现上消化道出血，尽管进行了多次内镜干预，但仍需要输血。虽然考虑过对胃十二指肠动脉进行栓塞或手术结扎，但血管造影显示腹腔干闭塞，这会增加肝缺血的风险。于是对腹腔干进行了再通和支架置入，从而成功地对胃十二指肠动脉进行了栓塞。该病例说明了考虑内脏动脉闭塞的解剖变异和患者风险因素以降低发病率和死亡率的重要性。
