Document Type

Article

Publication Date

4-21-2021

Publication Title

Cureus

Volume

13

Issue

4

Abstract

Transarterial angiographic embolization is a highly effective, safe treatment for non-variceal upper gastrointestinal bleeding refractory to endoscopic intervention. However, intraluminal coil migration is a possible complication. Coil migration, while usually a self-limiting process, can lead to significant rebleeding. In our case, a patient presented with a life-threatening duodenal ulcer hemorrhage, likely precipitated by intraluminal endovascular coil migration after a recent gastro-duodenal artery embolization. He was successfully managed without endoscopic coil removal and had no additional gastrointestinal bleeding. It is important for endoscopists to be aware of this complication and weigh the risks and benefits of coil removal.

Keywords

Upper gastrointestinal bleed; Coil migration; Upper endoscopy; Duodenal ulcer; Esophagogastroduodenoscopy; EGD

Disciplines

Gastroenterology | Internal Medicine | Medical Specialties | Medicine and Health Sciences

File Format

pdf

File Size

470 KB

Language

English

Creative Commons License

Creative Commons Attribution 4.0 License
This work is licensed under a Creative Commons Attribution 4.0 License.

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