Presentation
Massive hematemesis
Patient Data
Age: 70 years
Gender: Female
From the case:
Upper GI bleeding - duodenal ulcer
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Dilation of the stomach with endoluminal antral and post-piloric active bleeding, increasing in the dynamic contrastographic phases.
It was presumed that the origin of the bleeding was from the gastroduodenal artery or its branches.
Case Discussion
The patient underwent surgical ligation of the gastroduodenal artery, a branch arising from the hepatic artery of the celiac trunk, supplying the pylorus and proximal duodenum.
Duodenal ulcers are at high risk because the gastroduodenal artery is located just behind the posterior wall of the duodenum, and its erosion may lead to massive bleeding 1.
Acknowledgements: Cancelli C, MD, Consultant radiologist
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