AI Article Synopsis
- - An 83-year-old woman, who had a liver surgery 20 years ago, was hospitalized due to upper gastrointestinal bleeding.
- - Emergency endoscopy revealed blood clots in the stomach and duodenum, and a polyp in the biliary tree was suspected to be the source of the bleeding.
- - After the polyp was removed and the patient initially improved, she experienced severe bleeding again, leading to the discovery of a pseudoaneurysm in her left hepatic artery, which was successfully treated with angiography.
Article Abstract
An 83-year-old woman with a history of hepaticoduodenostomy 20 years ago was admitted with upper gastrointestinal bleeding. Emergency upper gastrointestinal endoscopy revealed multiple blood clots over the stomach and first and second parts of the duodenum. The cannulation of the biliary tree with a flexible end-viewing endoscope exposed the presence of blood clot inside biliary lumen and a semipedunculated polyp which, at first, appeared to be the cause of haemorrhage. A few days after polypectomy, patient was discharged home, however, was admitted again with massive bleeding and selective angiography demonstrated a pseudoaneurysm of left hepatic artery. Angioembolisation was performed and haemorrhage was stopped afterwards.
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Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5747666 | PMC |
| http://dx.doi.org/10.1136/bcr-2017-220575 | DOI Listing |
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