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Related Concept Videos

Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

60
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...
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Peptic Ulcer Disease V: Surgical Management and Nursing Care01:25

Peptic Ulcer Disease V: Surgical Management and Nursing Care

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Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
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Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

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Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
59
Esophageal Varices-I: Introduction01:24

Esophageal Varices-I: Introduction

127
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...
127
  1. Home
  3. Research Domains
  5. Engineering
  7. Environmental Engineering
  9. Air Pollution Modelling And Control
  11. Successful Treatment Of Gastric Bleeding Caused By Left Phrenic Artery Pseudoaneurysm Post-surgery With Endovascular Embolization: A Case Report.
  1. Home
  3. Research Domains
  5. Engineering
  7. Environmental Engineering
  9. Air Pollution Modelling And Control
  11. Successful Treatment Of Gastric Bleeding Caused By Left Phrenic Artery Pseudoaneurysm Post-surgery With Endovascular Embolization: A Case Report.

Related Experiment Video

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function
09:40

An Ivor Lewis Esophagectomy Designed to Minimize Anastomotic Complications and Optimize Conduit Function

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Successful treatment of gastric bleeding caused by left phrenic artery pseudoaneurysm post-surgery with endovascular embolization: A case report.

Izzat Basahai1, Meshari A Alzeer2, Bader S Almuhanna2

  • 1Consultant Interventional Radiologist, King Khalid University Hospital, Department of Radiology, King Saud University, Riyadh, Saudi Arabia.

Radiology Case Reports
|March 27, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

A rare pseudoaneurysm in the Left Inferior Phrenic Artery (LIPA) after Laparoscopic Sleeve Gastrectomy (LSG) caused severe bleeding. Endovascular embolization successfully treated the condition, avoiding surgery.

Keywords:
Endovascular embolizationGastrointestinal bleedingLaparoscopic sleeve gastrectomyPseudoaneurysm

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Percutaneous Hepatic Perfusion PHP with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
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Percutaneous Hepatic Perfusion PHP with Melphalan as a Treatment for Unresectable Metastases Confined to the Liver
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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Gastroenterology

Background:

  • Pseudoaneurysms are uncommon but serious complications following surgical procedures.
  • Laparoscopic Sleeve Gastrectomy (LSG) is a common bariatric surgery with potential risks.
  • The Left Inferior Phrenic Artery (LIPA) is a rare site for post-surgical pseudoaneurysm formation.

Observation:

  • A 28-year-old woman presented with severe gastrointestinal bleeding post-LSG.
  • Diagnostic imaging, including endoscopy and CT scans, repeatedly failed to identify the bleeding source.
  • A pseudoaneurysm in the LIPA was eventually identified as the cause of the bleeding.

Findings:

  • Endovascular embolization using a Glue/Lipidol mixture was performed to treat the LIPA pseudoaneurysm.
  • The procedure was technically challenging due to difficulties in pseudoaneurysm localization.
  • Successful embolization led to immediate cessation of gastrointestinal bleeding and symptomatic relief.

    • Implications:

    • This case underscores the importance of considering rare vascular complications like LIPA pseudoaneurysms after LSG.
    • Prompt diagnosis and endovascular management can effectively treat these life-threatening bleeds, avoiding open surgery.
    • Early recognition and intervention are crucial to prevent hemodynamic compromise and improve patient outcomes.