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[Upper digestive tract bleeding from ulcer with unusual etiology]
Chirurgia (Bucharest, Romania : 1990)
|January 29, 2005
Summary
A rare case of upper digestive tract bleeding was treated surgically. A penetrating duodenal ulcer eroded the cystic artery, requiring emergency surgery for hemorrhage control and gallbladder removal.
Area of Science:
- Gastroenterology
- Surgical Gastroenterology
- Vascular Surgery
Background:
- Upper digestive tract bleeding is a common emergency presentation.
- Hemorrhagic shock necessitates prompt surgical intervention for hemostasis.
- Penetrating duodenal ulcers can lead to rare but life-threatening complications.
Observation:
- A 40-year-old female presented with severe upper gastrointestinal bleeding.
- Bleeding recurred during resuscitation, leading to hemorrhagic shock.
- Intraoperative findings revealed a duodenal ulcer penetrating the gallbladder and eroding the cystic artery.
Findings:
- Surgical management included bipolar cholecystectomy and duodenal ulcer excision with anterior pilorectomy.
- A Burlui antro-duodenostomy was performed for reconstruction.
- The patient experienced a favorable postoperative course.
Implications:
- This case highlights the importance of considering rare complications of duodenal ulcers.
- Prompt surgical intervention is crucial for managing life-threatening hemorrhage from eroded cystic arteries.
- Successful surgical management can lead to favorable outcomes even in complex cases.