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Updated: Jun 30, 2026

Multimodality Diagnosis of Mesenteric Ischemia
Published on: July 21, 2023
[Atypical vascular supply from the coeliac trunk. Recurrent bleeding from a duodenal ulcer]
L I Partecke1, K Cziupka, J Kühn
1Klinik für Allgemeine Chirurgie, Viszeral-, Thorax- und Gefässchirurgie, Ernst-Moritz-Arndt-Universität, Friedrich-Loeffler-Strasse 23b, Greifswald, Germany. partecke@uni-greifswald.de
Abstract:
Hemorrhagic duodenal ulcers should primarily be controlled by endoscopy. In cases of recurrent bleeding or if bleeding cannot be controlled endoscopically, open surgery is the gold standard. Rarely, atypical origin of arteries or additional atypical arteries may lead to further unexpected hemorrhagic recurrences and angiography with surgical intervention is the treatment of choice. In this article a rare case of an atypical visceral artery connecting the coeliac trunk and the gastroduodenal artery leading to recurrent bleeding from a duodenal ulcer is presented.
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