scholarly journals Rare Complication of Interventional Radiology-guided Arterial Embolization of the Gastroduodenal Artery in the Setting of Acute Gastrointestinal Bleed: Migrated Coils in the Duodenum

Cureus ◽  
2020 ◽  
Author(s):  
Pujitha Kudaravalli ◽  
Sheikh A Saleem ◽  
Venkata Satish Pendela ◽  
Muhammad Osman Arif
Keyword(s):  
Interventional Radiology ◽  
Rare Complication ◽  
Arterial Embolization ◽  
Gastroduodenal Artery ◽  
Gastrointestinal Bleed

scholarly journals Massive hemobilia caused by rupture of gastroduodenal artery pseudoaneurysm, a delayed complication of laparoscopic cholecystectomy: a case report

2021 ◽  
Vol 15 (1) ◽  
Author(s):  
Kurniawan Kurniawan ◽  
I Dewa Nyoman Wibawa ◽  
Gde Somayana ◽  
I Ketut Mariadi ◽  
I Made Mulyawan
Keyword(s):  
Laparoscopic Cholecystectomy ◽  
Gastrointestinal Bleeding ◽  
Abdominal Trauma ◽  
Upper Gastrointestinal Bleeding ◽  
Rare Complication ◽  
Gastroduodenal Artery ◽  
Time Interval ◽  
Artery Pseudoaneurysm ◽  
History Of ◽  
Upper Gastrointestinal

Abstract Background Hemobilia is a rare cause of upper gastrointestinal bleeding that originates from the biliary tract. It is infrequently considered in diagnosis, especially in the absence of abdominal trauma or history of hepatopancreatobiliary procedure, such as cholecystectomy, which can cause arterial pseudoaneurysm. Prompt diagnosis is crucial because its management strategy is distinct from other types of upper gastrointestinal bleeding. Here, we present a case of massive hemobilia caused by the rupture of a gastroduodenal artery pseudoaneurysm in a patient with a history of laparoscopic cholecystectomy 3 years prior to presentation. Case presentation A 44-year-old Indonesian female presented to the emergency department with complaint of hematemesis and melena accompanied by abdominal pain and icterus. History of an abdominal trauma was denied. However, she reported having undergone a laparoscopic cholecystectomy 3 years prior to presentation. On physical examination, we found anemic conjunctiva and icteric sclera. Nonvariceal bleeding was suspected, but esophagogastroduodenoscopy showed a blood clot at the ampulla of Vater. Angiography showed contrast extravasation from a gastroduodenal artery pseudoaneurysm. The patient underwent pseudoaneurysm ligation and excision surgery to stop the bleeding. After surgery, the patient’s vital signs were stable, and there was no sign of rebleeding. Conclusion Gastroduodenal artery pseudoaneurysm is a rare complication of laparoscopic cholecystectomy. The prolonged time interval, as compared with other postcholecystectomy hemobilia cases, resulted in hemobilia not being considered as an etiology of the gastrointestinal bleeding at presentation. Hemobilia should be considered as a possible etiology of gastrointestinal bleeding in patients with history of cholecystectomy, regardless of the time interval between the invasive procedure and onset of bleeding.

scholarly journals Eroded GDA coil surgically managed with Roux-en-Y reconstruction

2019 ◽  
Vol 2019 (8) ◽  
Author(s):  
Michael Iannamorelli ◽  
Adam Bowling ◽  
Elie Semaan
Keyword(s):  
Emergency Department ◽  
Interventional Radiology ◽  
High Risk ◽  
African American Male ◽  
Distal Gastrectomy ◽  
Epigastric Pain ◽  
Duodenal Bulb ◽  
Gastroduodenal Artery ◽  
Loss Of Consciousness ◽  
Upper Endoscopy

Abstract Here, we describe the case of a 56-year-old African American male who initially presented to the emergency department with 2 days of abdominal cramping, epigastric pain, loss of consciousness, melena and hematochezia. He underwent coil embolization of his gastroduodenal artery by the interventional radiology team after it was felt he was a high risk for rebleed. The patient then returned to the hospital with 3 weeks of epigastric pain, lightheadedness and melanotic stool. An upper endoscopy revealed a metallic coil embedded into the duodenal bulb. This coil was believed to be from prior embolization to the gastroduodenal artery. The patient then underwent a laparoscopic distal gastrectomy and partial duodenectomy with antecolic antegastric Roux-en-Y reconstruction bypassing the area where erosion occurred.

scholarly journals Gastroduodenal artery aneurysm – A rare complication of traumatic pancreatic injury

2016 ◽  
Vol 19 (6) ◽  
pp. 368-370 ◽  
Author(s):  
Annu Babu ◽  
Amulya Rattan ◽  
Maneesh Singhal ◽  
Amit Gupta ◽  
Subodh Kumar
Keyword(s):  
Rare Complication ◽  
Artery Aneurysm ◽  
Pancreatic Injury ◽  
Gastroduodenal Artery ◽  
Gastroduodenal Artery Aneurysm

scholarly journals Spontaneous rupture of enormous renal angiomyolipoma in a pregnant tuberous sclerosis patient: a rare case

2020 ◽  
Vol 21 (1) ◽  
Author(s):  
Zechuan Liu ◽  
Yinghua Zou ◽  
Tianshi Lv ◽  
Haitao Guan ◽  
Zeyang Fan
Keyword(s):  
Tuberous Sclerosis ◽  
Rare Complication ◽  
Arterial Embolization ◽  
Renal Angiomyolipoma ◽  
Case Presentation ◽  
Selective Arterial Embolization ◽  
Medical Termination ◽  
The Status ◽  
First Time

Abstract Background Renal angiomyolipoma (RAML) is a rare benign kidney tumour comprised of adipose tissue, smooth muscle, and blood vessels. It can cause fatal complications if it ruptures. Although there have been reports of RAMLs rupturing, it is unusual to see RAMLs rupture during pregnancy, especially in pregnant women with tuberous sclerosis (TSC). Moreover, we reported a rare complication after selective arterial embolization (SAE) for the first time, which called aseptic liquefaction necrosis. Case presentation The case is a 16-week-pregnant woman with TSC who presented with severe flank pain, which was secondary to the rupture of a large, previously unknown RAML. This was confirmed by emergency computed tomography and successfully treated with selective arterial embolization after the patient received counselling and provided prior informed written consent for medical termination of pregnancy (MTP). The patient underwent abortion 3 weeks after the SAE. The patient required drainage 2 months after the SAE because of aseptic liquefaction necrosis. During follow-up, the patient’s lesion remained stable. Conclusion RAML rupture is a rare but rather serious complication in pregnant tuberous sclerosis patients. Selective arterial embolization (SAE) should be performed immediately, and the status of the pregnancy needs to be assessed by a multidisciplinary team. We also report for the first time the rare complication of aseptic liquefaction necrosis after SAE of RAML, for which percutaneous drainage is effective.

scholarly journals Bilateral Spontaneous Perirenal Hemorrhage in an Acquired Cystic Kidney Disease Hemodialysis Patient

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Daigoro Hirohama ◽  
Hiroshi Miyakawa
Keyword(s):  
Kidney Disease ◽  
Renal Artery ◽  
Rare Complication ◽  
Artery Aneurysm ◽  
Arterial Embolization ◽  
Aneurysm Rupture ◽  
Cystic Kidney Disease ◽  
Cystic Kidney ◽  
Acquired Cystic Kidney Disease ◽  
Perirenal Hemorrhage

Acquired cystic kidney disease (ACKD) is a well-known late stage complication of chronic kidney disease. Cysts tend to grow with time on dialysis and could lead to malignant transformation, and intra- or perirenal hemorrhage is a rare complication of ACKD. Here we describe one case of bilateral spontaneous perirenal hemorrhage of ACKD in a 44-year-old man, on hemodialysis for 15 years. One was due to cyst rupture, and the other was due to aneurism rupture, both were controlled with transcatheter arterial embolization. In renal arteriography at the second rupture, we demonstrated extravasation from an aneurysm being present at the periphery of right renal artery. Several spontaneous perirenal hemorrhage cases were reported but its clinical information is limited, moreover, bilateral cases were extremely rare. Furthermore, to our knowledge, this is the first report of spontaneous perirenal hemorrhage caused by intraparenchymal renal artery aneurysm rupture in ACKD patients. We report this case because of its rarity and significance with respect to the complication of dialysis patients, review reported bilateral cases, and discuss some clinical characteristics.

scholarly journals Management of pseudo tumour in haemophilia patients

2020 ◽  
Vol 7 (6) ◽  
pp. 2033
Author(s):  
Sherlyn Ambrose ◽  
Giridhar Ashwath ◽  
Sreekar Balasundaram ◽  
Suresh Kumar ◽  
Cecil Ross ◽  
...  
Keyword(s):  
Male Patient ◽  
Soft Tissues ◽  
Hemophilia A ◽  
Rare Complication ◽  
Arterial Embolization ◽  
Surgical Excision ◽  
High Rate ◽  
Treatment Modalities ◽  
Fistula Formation ◽  
Slow Growing

A hemophilic pseudotumor is one of the rare complications of hemophilia that results from repetitive bleeding, forming an expanding destructive encapsulated hematoma and necrosed tissue. It has a considerable amount of morbidity. These have become rare over the years with better treatment modalities like factor replacement. Presently, excision is the preferred treatment by many authors. There are instances where surgical excision is not feasible. In such situations, radiotherapy and arterial embolization should be considered either alone or as an adjunct to surgery. A 32 years old male patient, with severe hemophilia A diagnosed with an abdominal tumour 7 years ago during routine screening, that progressively grew to encompass the lower abdominal area. A 44 years old male patient with hemophilia A presented with slow growing swelling over the left gluteal region since, 10 years associated with ulceration and bleeding since, 3 days. The management of a patient with a haemophilic pseudo tumour is complex, with a high rate of potential complications. Surgical excision is the treatment of choice but can only be carried out by a multidisciplinary surgical team. The main postoperative complications are rebleed, infection, fistula and pathological fractures. Pelvic pseudo tumours can even become complicated by fistula formation to the large bowel and by obstruction of the ureters. Untreated pseudo tumours will ultimately destroy soft tissues, erode bone, and may produce neurovascular complications. The hemophilic pseudo tumour is a rare entity which is slow growing painless tumour, with few reports worldwide in the management of this rare complication.

scholarly journals The State of Interventional Radiology in Myanmar: A National Report

2021 ◽  
Vol 7 (1) ◽  
Author(s):  
Benjamin Jyhhan Kuo ◽  
Myo Oo Aung ◽  
Ngwe Phyu Hnin ◽  
Taryi Wint ◽  
Tin Htun Aung ◽  
...  
Keyword(s):  
Interventional Radiology ◽  
General Hospital ◽  
Arterial Embolization ◽  
Asia Pacific ◽  
Healthcare Sector ◽  
Public Healthcare ◽  
Outreach Programs ◽  
Radiological Society ◽  
Public Healthcare Sector ◽  
Bronchial Arterial Embolization

Purpose: Radiology global outreach programs have increased in recent years but progressed more slowly than other specialties. Establishing radiology services is increasingly recognized as a priority in resource-limited settings. Myanmar has a tremendous disease burden that is treatable with interventional radiology (IR) techniques, and aims to grow and effectively integrate this service into its public healthcare sector. Through collaborations between Asia Pacific Society of Cardiovascular and Interventional Radiology (APSCVIR) and Myanmar Radiological Society (MRS), the field of IR has grown exponentially over recent years. This study aims to provide a Myanmar national IR report on the current trends and future challenges. Methods and materials: Descriptive variables across five domains (facility and equipment, workforce, supplies, infrastructure, and casemix) from the four public sector hospitals with IR capability were obtained between 2016-2019. The four hospitals were Yangon General Hospital (YGH), Yangon Specialty Hospital (YSH), Mandalay General Hospital (MGH), and Defense Services General Hospital (DSGH). Data were analyzed to demonstrate progress in IR and the differing casemix. Results: There are currently four IR-capable hospitals and nine interventional radiologists across Myanmar’s public healthcare sector. IR case volumes tripled from 514 cases in 2016 to more than 1,500 cases in 2019. The three most common procedures performed were trans-arterial chemoembolization (TACE, 63%), bronchial arterial embolization (BAE, 7.7%), and drainages (7.7%). Significant challenges to the growth and adoption of IR services span the domains of infrastructure, equipment and supplies, workforce, and IR awareness, among other clinical specialties. Conclusion: Myanmar’s healthcare priorities, coupled with international radiological outreach programs, have led to rapid growth of IR. The exponential growth in case volumes is promising for Myanmar and other developing countries. But to widen the scope of practice and integrate the service within local clinical workflows, a holistic effort that addresses multiple domains is needed in the future.

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