Management of Refractory Bleeding at the Duodenal Bulb Post-Trauma Using OTSC Combined With Interventional...

Multiple traumas can lead to acute gastrointestinal mucosal erosion or ulcers, typically presenting as upper gastrointestinal bleeding, while perforation occurs rarely. Rebleeding poses a serious threat to life. Standard treatments include endoscopic electrocoagulation, tissue adhesives, and titanium clips. We report a case of a 39-year-old woman with post-traumatic stress ulcer bleeding successfully managed using a combination of over-the-scope clip (OTSC) placement and interventional embolization. This case demonstrates the effectiveness of OTSC combined with embolization in controlling post-traumatic ulcer bleeding and preventing recurrence.