Bleeding duodenal ulcer with ovarian torsion—a rare presentation in neonates

2021 ◽  
Vol 14 (8) ◽  
pp. e243758
Author(s):  
Saikat Patra ◽  
Pavan Kalamdani ◽  
Thaslima Kalathingal ◽  
Jayashree Mondkar
Keyword(s):  
Duodenal Ulcer ◽  
Correct Diagnosis ◽  
Ovarian Torsion ◽  
Rare Presentation ◽  
Gastrointestinal Bleed ◽  
Prompt Treatment ◽  
Upper Gastrointestinal Bleed ◽  
Common Causes ◽  
Bleeding Duodenal Ulcer ◽  
Upper Gastrointestinal

Massive upper gastrointestinal bleed is an emergency in newborns. Common causes are coagulopathy and thrombocytopenia. Stress-induced duodenal ulcer has also been reported as an unusual cause for massive upper gastrointestinal bleed. Managing such cases requires correct diagnosis and prompt treatment to prevent catastrophic complications. We report a case of bleeding duodenal ulcer probably secondary to ovarian torsion.

scholarly journals Upper Gastrointestinal Bleed in a Young Male- A Rare Presentation of Eosinophilic Gastroenteritis

Cureus ◽  
2020 ◽  
Author(s):  
Shivani Priyadarshni ◽  
Balarama K Surapaneni ◽  
Kairavee Dave ◽  
Steven Kaplan ◽  
Nehal Patel
Keyword(s):  
Young Male ◽  
Eosinophilic Gastroenteritis ◽  
Rare Presentation ◽  
Gastrointestinal Bleed ◽  
Upper Gastrointestinal Bleed ◽  
Upper Gastrointestinal

Pseudoaneurysm of the gastroduodenal artery secondary to diverticulitis of the first part of duodenum: a rare presentation of upper gastrointestinal bleed

2021 ◽  
Vol 14 (1) ◽  
pp. e238232
Author(s):  
Ramanan Sinduja ◽  
Chellappa Vijayakumar ◽  
Mahalingam Sudharshan ◽  
Uday Shamrao Kumbhar ◽  
Bharat Manohara Naik ◽  
...  
Keyword(s):  
Gastroduodenal Artery ◽  
Definite Diagnosis ◽  
Coil Embolisation ◽  
Rare Presentation ◽  
Gastrointestinal Bleed ◽  
Initial Resuscitation ◽  
Surgical Emergency ◽  
Upper Gastrointestinal Bleed ◽  
Upper Gastrointestinal

Acute upper gastrointestinal (UGI) bleeding is one of the most frequent presentations to a surgical emergency. Most of them respond to initial resuscitation, and a definite diagnosis is established as soon as possible, thereby helping the clinician in management. We present the diagnostic challenges that we faced with a 70-year-old man who presented with UGI bleed. He initially responded to resuscitation, but later deteriorated and became haemodynamically unstable. The source of the UGI bleed on evaluation was found to be pseudoaneurysm of the gastroduodenal artery (PsGDA) and treated successfully by coil embolisation. The cause of the PsGDA was diverticulum arising from the first part of duodenum with changes of diverticulitis. Diverticulum originating from the first part of the duodenum is seldom reported. Moreover, diverticulitis involving this part and causing PsGDA has not been reported so far.

scholarly journals Upper Gastrointestinal Bleed: Do not Forget a Look at Ampulla

2018 ◽  
Vol 09 (03) ◽  
pp. 134-137
Author(s):  
Avinash Bhat Balekuduru ◽  
Abhinav Kumar ◽  
Athish Shetty ◽  
Satyaprakash Bonthala Subbaraj
Keyword(s):  
Artery Aneurysm ◽  
Artery Pseudoaneurysm ◽  
Gastrointestinal Bleed ◽  
Upper Gastrointestinal Bleed ◽  
Common Causes ◽  
The Common ◽  
Gastroduodenal Artery Aneurysm ◽  
Intermittent Bleeding ◽  
Upper Gastrointestinal ◽  
Splenic Artery Pseudoaneurysm

Hemosuccus pancreaticus (HP) and hemobilia (HB) are uncommon causes of upper gastrointestinal bleed. In this report, 4 cases of HP and 1 case of HB with intermittent bleeding are described. The causes of HP are rupture of splenic artery pseudoaneurysm in 3 and gastroduodenal artery aneurysm in one. The cause of HB is due to cystic artery bleed. HP can be secondary to chronic or acute pancreatitis with bleeding from pseudoaneurysm arising from peripancreatic arteries. Iatrogenic transhepatic techniques, trauma, operative injuries, malignancy, and inflammation in hepatobiliary system are the common causes of HB. All the cases are missed on first endoscopy and diagnosed on second‑look endoscopy. A strong clinical suspicion is required at first endoscopy for early diagnosis and management. This case report compares presentation of HP with HB, diagnosis, and their management.

Recurrent upper gastrointestinal bleed in a 26 year old female

2018 ◽  
Vol 8 (1) ◽  
pp. 231-233
Author(s):  
T. Heavener ◽  
P. Patel ◽  
J. Garner ◽  
J. Sing ◽  
M. Jeffries ◽  
...  
Keyword(s):  
Duodenal Ulcer ◽  
Interventional Radiology ◽  
Proton Pump Inhibitor ◽  
Endovascular Embolization ◽  
Upper Endoscopy ◽  
Transfusion Strategy ◽  
Gastrointestinal Bleed ◽  
Upper Gastrointestinal Bleed ◽  
Coil Migration ◽  
Upper Gastrointestinal

According to recent society guidelines, upper gastrointestinal bleed initial approach includes assessment of hemodynamic status, fluid resuscitation if necessary, transfusion strategy to target hemoglobin above 7 (g/dL), use of intravenous proton pump inhibitor and generally upper endoscopy within 24 hours. We present a case of a 26-year-old woman who sought treatment after one episode of hematemesis and pre-syncope. She had a similar presentation three months earlier and received interventional radiology-guided mesenteric angiography and the use of multiple coils to embolize a 1.5-cm deep punched-out duodenal ulcer. Migration of the coil was noted on endoscopy within the previously described ulcer. Coil migration is expected to occur in up to 3% of cases of endovascular embolization. However, migration into the duodenum is uncommon and could have actually been a contributing factor to the current bleed.

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