正中弓形韧带受压患者的难治性十二指肠溃疡：治疗难题。

IF 0.6 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2024-08-05 eCollection Date: 2024-08-01 DOI:10.14309/crj.0000000000001407

Sérgio Manuel Tubal Bronze, Daniel Conceição, Milena Mendes, Filipe Cardoso, Daniel Torres, Elia Coimbra, Tiago Bilhim

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引用次数: 0

摘要

柔性食管胃十二指肠镜检查是治疗急性上消化道出血的金标准。本病例中，一名男子因十二指肠球部前方的溃疡而出现血便并伴有低血压，急诊科收治了他。随后，又尝试了胃十二指肠动脉栓塞术，但由于正中弓形韧带的存在，压迫了腹腔干，因此无法进行。在腹腔干插入了一个球囊扩张支架，然后进行了栓塞。在内镜治疗失败后，动脉栓塞是非静脉急性上消化道出血的治疗选择之一。

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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Refractory Duodenal Ulcer in a Patient With Median Arcuate Ligament Compression: A Treatment Challenge.

Flexible esophagogastroduodenoscopy is the gold standard for the management of acute upper gastrointestinal bleeding. This is a case of a man who was admitted in the emergency department because of melena with hypotension because of an ulcer in the anterior face of the duodenal bulb, refractory to 3 attempts of endoscopic therapy. Then, a gastroduodenal arterial embolization was tried, being impossible because of the presence of the median arcuate ligament, compressing the celiac trunk. A balloon-expandable stent was inserted in the celiac trunk, and then, the embolization was performed. After unsuccessful endoscopic management, the arterial embolization is one of the treatment options in nonvariceal acute upper gastrointestinal bleeding.

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.