Duodenal ulcer bleeding due to spring coil migration: a case report

Area of Science:

• Interventional Radiology
• Gastroenterology
• Surgical Gastroenterology

Background:

• Spring coil migration is an infrequent yet serious complication following arterial embolization procedures.
• Gastrointestinal bleeding stemming from coil migration lacks a standardized treatment approach.
• Delayed complications such as coil migration require careful consideration in patient management.

Purpose of the Study:

• To present a case of gastrointestinal bleeding caused by spring coil migration.
• To illustrate the successful management of this rare complication.
• To emphasize the importance of multidisciplinary decision-making in critical cases.

Main Methods:

• A 70-year-old male presented with hematemesis and melena.
• Diagnostic evaluation revealed a fistula between a hepatic aneurysm and a duodenal ulcer, caused by coil migration.
• The patient underwent open surgery including fistula repair, arterial resection, and vessel ligation.

Main Results:

• The patient experienced severe gastrointestinal hemorrhage due to coil migration.
• Surgical intervention led to complete resolution of bleeding and associated symptoms.
• The patient recovered well post-operatively.

Conclusions:

• Coil displacement is a rare but significant complication of aneurysm embolization.
• There is no established treatment protocol for gastrointestinal bleeding due to coil migration.
• Open surgery can be a life-saving option for managing severe hemorrhage from coil migration, necessitating a multidisciplinary approach.