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Related Concept Videos

Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

119
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
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Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

176
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
176
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

94
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
94
Vascular Spasm01:16

Vascular Spasm

1.5K
The vascular phase, also known as vasospasm, is the initial stage of hemostasis, crucial for preventing excessive bleeding when a blood vessel is injured. After a vessel is cut, nerves in the damaged area trigger pain and other sensory impulses. Simultaneously, the smooth muscles in the vessel wall contract, resulting in a vascular spasm. This contraction reduces the vessel's diameter at the injury site, slowing or stopping blood loss through the vessel wall. Vascular spasms typically last...
1.5K

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Related Experiment Video

Updated: Jul 16, 2025

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
04:00

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

238

Spontaneous duodenal wall hematoma.

Víctor Echavarría Rodríguez1, Ángela Antón Rodríguez2, Luis Martín Ramos2

  • 1Gastroenterología y Hepatología, Hospital Universitario Marqués de Valdecilla, SPAIN.

Revista Espanola De Enfermedades Digestivas
|September 14, 2023
PubMed
Summary

A bleeding duodenal lesion was treated with embolization, leading to acute pancreatitis. The patient recovered well after intensive care, with symptom resolution and hematoma reabsorption.

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Area of Science:

  • Gastroenterology
  • Interventional Radiology

Background:

  • Peptic ulcers and gastrointestinal bleeding are common emergencies.
  • Vascular lesions in the duodenum present diagnostic and therapeutic challenges.

Observation:

  • A 59-year-old male with a history of smoking, diabetes, and hypertension presented with epigastric pain and coffee-ground emesis.
  • CT revealed a 5x6 cm bleeding duodenal lesion compressing the lumen.
  • The patient experienced severe acute pancreatitis post-embolization, requiring ICU admission.

Findings:

  • Percutaneous embolization of the gastroduodenal artery successfully controlled the duodenal bleeding.
  • The patient developed severe acute pancreatitis as a complication of the embolization procedure.
  • Clinical recovery was achieved with pain cessation, hematoma resolution, and relief of obstructive symptoms.

Implications:

  • Percutaneous embolization is an effective treatment for active duodenal bleeding.
  • Acute pancreatitis is a potential complication of gastroduodenal artery embolization.
  • Multidisciplinary management is crucial for patients with complex gastrointestinal bleeding and its complications.