Erschienen in:
01.10.2011 | Letter to the Editor
Extravascular Submucosal Coil Migration After Transcatheter Arterial Embolization for a Massively Bleeding Duodenal Ulcer
verfasst von:
Keigo Chosa, Akira Naito, Kazuo Awai
Erschienen in:
CardioVascular and Interventional Radiology
|
Ausgabe 5/2011
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Excerpt
The standard treatment for upper gastrointestinal bleeding is endoscopic hemostasis [
1,
2]; it achieves bleeding control in most patients [
1‐
3]. If it is difficult to locate the source of bleeding and/or to control massive bleeding in the stomach or duodenum, transcatheter arterial embolization (TAE) is as an alternative treatment [
4]. We encountered a patient with coil penetration beneath the duodenal surface after TAE. The coil was gradually covered by epithelium of the mucous membrane and there were no sequelae. That is to say, it seemed that the coil migrated into duodenal submucosa due to the collapse of wall structure of an artery and intestinal tract, resulting in spontaneous healing. …