Management of Refractory Bleeding at the Duodenal Bulb Post-Trauma Using OTSC Combined With Interventional Embolization: A Case Report

IF 0.6 Q3 MEDICINE, GENERAL & INTERNAL

Clinical Case Reports Pub Date : 2025-05-05 DOI:10.1002/ccr3.70486

Qing Chen, Shifeng Shao

引用次数: 0

Abstract

Multiple traumas can lead to acute gastrointestinal mucosal erosion or ulcers, typically presenting as upper gastrointestinal bleeding, while perforation occurs rarely. Rebleeding poses a serious threat to life. Standard treatments include endoscopic electrocoagulation, tissue adhesives, and titanium clips. We report a case of a 39-year-old woman with post-traumatic stress ulcer bleeding successfully managed using a combination of over-the-scope clip (OTSC) placement and interventional embolization. This case demonstrates the effectiveness of OTSC combined with embolization in controlling post-traumatic ulcer bleeding and preventing recurrence.

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OTSC联合介入栓塞治疗十二指肠球部外伤后难治性出血1例

多重创伤可导致急性胃肠道粘膜糜烂或溃疡，典型表现为上消化道出血，而穿孔很少发生。再出血对生命构成严重威胁。标准治疗包括内窥镜电凝，组织粘接剂和钛夹。我们报告一例39岁的女性创伤后应激性溃疡出血成功地管理使用镜外夹（OTSC）放置和介入栓塞的组合。本病例证明了OTSC联合栓塞在控制创伤后溃疡出血和预防复发方面的有效性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Clinical Case Reports MEDICINE, GENERAL & INTERNAL-

自引率

14.30%

发文量

1268

审稿时长

13 weeks

期刊介绍： Clinical Case Reports is different from other case report journals. Our aim is to directly improve global health and increase clinical understanding using case reports to convey important best practice information. We welcome case reports from all areas of Medicine, Nursing, Dentistry, and Veterinary Science and may include: -Any clinical case or procedure which illustrates an important best practice teaching message -Any clinical case or procedure which illustrates the appropriate use of an important clinical guideline or systematic review. As well as: -The management of novel or very uncommon diseases -A common disease presenting in an uncommon way -An uncommon disease masquerading as something more common -Cases which expand understanding of disease pathogenesis -Cases where the teaching point is based on an error -Cases which allow us to re-think established medical lore -Unreported adverse effects of interventions (drug, procedural, or other).