Refractory Duodenal Ulcer in a Patient With Median Arcuate Ligament Compression

Bibliographic Details
Main Author: Bronze, Sérgio Manuel Tubal
Publication Date: 2024
Other Authors: Conceição, Daniel, Mendes, Milena, Cardoso, Filipe, Torres, Daniel, Coimbra, Elia, Bilhim, Tiago
Format: Article
Language: eng
Source: Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
Download full: http://hdl.handle.net/10362/172953
Summary: © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.
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spelling Refractory Duodenal Ulcer in a Patient With Median Arcuate Ligament CompressionA Treatment Challengearterial embolizationgastrointestinal bleedingmedian arcuate ligament© 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.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.NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)RUNBronze, Sérgio Manuel TubalConceição, DanielMendes, MilenaCardoso, FilipeTorres, DanielCoimbra, EliaBilhim, Tiago2024-10-03T22:25:36Z2024-082024-08-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/10362/172953eng2326-3253PURE: 100430688https://doi.org/10.14309/crj.0000000000001407info:eu-repo/semantics/openAccessreponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiainstacron:RCAAP2025-03-31T01:53:48Zoai:run.unl.pt:10362/172953Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireinfo@rcaap.ptopendoar:https://opendoar.ac.uk/repository/71602025-05-28T18:55:28.824438Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologiafalse
dc.title.none.fl_str_mv Refractory Duodenal Ulcer in a Patient With Median Arcuate Ligament Compression
A Treatment Challenge
title Refractory Duodenal Ulcer in a Patient With Median Arcuate Ligament Compression
spellingShingle Refractory Duodenal Ulcer in a Patient With Median Arcuate Ligament Compression
Bronze, Sérgio Manuel Tubal
arterial embolization
gastrointestinal bleeding
median arcuate ligament
title_short Refractory Duodenal Ulcer in a Patient With Median Arcuate Ligament Compression
title_full Refractory Duodenal Ulcer in a Patient With Median Arcuate Ligament Compression
title_fullStr Refractory Duodenal Ulcer in a Patient With Median Arcuate Ligament Compression
title_full_unstemmed Refractory Duodenal Ulcer in a Patient With Median Arcuate Ligament Compression
title_sort Refractory Duodenal Ulcer in a Patient With Median Arcuate Ligament Compression
author Bronze, Sérgio Manuel Tubal
author_facet Bronze, Sérgio Manuel Tubal
Conceição, Daniel
Mendes, Milena
Cardoso, Filipe
Torres, Daniel
Coimbra, Elia
Bilhim, Tiago
author_role author
author2 Conceição, Daniel
Mendes, Milena
Cardoso, Filipe
Torres, Daniel
Coimbra, Elia
Bilhim, Tiago
author2_role author
author
author
author
author
author
dc.contributor.none.fl_str_mv NOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM)
RUN
dc.contributor.author.fl_str_mv Bronze, Sérgio Manuel Tubal
Conceição, Daniel
Mendes, Milena
Cardoso, Filipe
Torres, Daniel
Coimbra, Elia
Bilhim, Tiago
dc.subject.por.fl_str_mv arterial embolization
gastrointestinal bleeding
median arcuate ligament
topic arterial embolization
gastrointestinal bleeding
median arcuate ligament
description © 2024 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology.
publishDate 2024
dc.date.none.fl_str_mv 2024-10-03T22:25:36Z
2024-08
2024-08-01T00:00:00Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://hdl.handle.net/10362/172953
url http://hdl.handle.net/10362/172953
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 2326-3253
PURE: 100430688
https://doi.org/10.14309/crj.0000000000001407
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.source.none.fl_str_mv reponame:Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
instname:FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron:RCAAP
instname_str FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
instacron_str RCAAP
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reponame_str Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
collection Repositórios Científicos de Acesso Aberto de Portugal (RCAAP)
repository.name.fl_str_mv Repositórios Científicos de Acesso Aberto de Portugal (RCAAP) - FCCN, serviços digitais da FCT – Fundação para a Ciência e a Tecnologia
repository.mail.fl_str_mv info@rcaap.pt
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