Skip to main content
SpringerLink
Log in

Hepatic infarction and gallbladder necrosis complicating arterial embolization for bleeding duodenal ulcer

  • Case Report
  • Published:
Digestive Diseases and Sciences Aims and scope Submit manuscript

Summary

A case of severe duodenal hemorrhage in a septic renal allograft recipient is presented in which successful occlusion of the gastroduodenal artery by Gelfoam emboli also resulted in severe hepatic infarction and gallbladder necrosis. These complications were caused by reflux of emboli from the gastroduodenal artery into the distal branches of the hepatic artery.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Baum S, Nusbaum M: The control of gastrointestinal hemorrhage by selective mesenteric arterial infusion of vasopressin. Radiology 98:497, 1971

    Google Scholar 

  2. Katzen B, Rossi P, Passariello R, Simonetti G: Transcatheter therapeutic arterial embolization. Radiology 120:513, 1976

    Google Scholar 

  3. Dotter CT, Goldman ML, Rosch J: Instant selective arterial occlusion with isobutyl 2-cyanoacrylate. Radiology 114:227, 1975

    Google Scholar 

  4. Waltman AC, Jang GC, Athanasoulis CA, Ring EJ, Baum S: Emergency gastrointestinal angiography. Geriatrics 29:48, 1974

    Google Scholar 

  5. Rosch J, Dotter CT, Rese RW: Selective arterial infusions of vasoconstrictors in acute gastrointestinal bleeding. Radiology 99:27, 1971

    Google Scholar 

  6. Woodside J, Schwarz H, Bergrenn P: Peripheral embolization complicating bilateral renal infarction with Gelfoam. Am J Roentgenol 126:1033, 1976

    Google Scholar 

  7. Bradley EL, Goldman ML: Gastric infarction after therapeutic embolization. Surgery 79:421, 1976

    Google Scholar 

  8. Eisenberg H, Steer ML: The non-operative treatment of massive pyloroduodenal hemorrhage by retracted autologous clot embolization. Surgery 79:414, 1976

    Google Scholar 

  9. Prochaska JM, Flye MW, Johnsrude IS: Left gastric artery embolization for control of gastric bleeding: A complication. Radiology 107:521, 1973

    Google Scholar 

  10. Papp JP: Endoscopic electrocoagulation in upper gastro-intestinal hemorrhage. A preliminary report. J Am Med Assoc 230:1172, 1974

    Google Scholar 

  11. Dwyer RM, Yellin AE, Bass M, Craig J, Cherlow J, Samloff IM: Laser treatment of gastrointestinal hemorrhage in man. Proceedings of the 1st International Symposium on Laser Surgery, Jerusalem Academic Press, 1976, p 185

  12. Blackwood WD, Silvis SE: Electrocoagulation of hemorhagic gastritis. Gastrointest Endosc 18:53, 1971

    Google Scholar 

  13. Goldin AR: Control of duodenal hemorrhage with cyanoacrylate. Br J Radiol 49:583, 1976

    Google Scholar 

  14. Goldman ML, Land WC, Bradley EL, Anderson J: Transcatheter therapeutic embolization in the management of massive upper gastrointestinal bleeding. Radiology 120:513, 1976

    Google Scholar 

  15. Redman HC, Reuter SR: Arterial collaterals in the liver hilus. Radiology 94:575, 1970

    Google Scholar 

  16. Koehler RE, Korobkin M, Lewis F: Arteriographic demonstration of collateral arterial supply to the liver after hepatic artery ligation. Radiology 117:49, 1975

    Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of General Surgery and Transplantation, The Chaim Sheba Medical Center, Tel-Hashomer, Israel

    Erwin T. Jacob MD, Zaki Shapira MD, Benjamina Morag MD & Zalman Rubinstein MD

  2. Institute of Diagnostic Radiology, The Chaim Sheba Medical Center, Tel-Hashomer, Israel

    Erwin T. Jacob MD, Zaki Shapira MD, Benjamina Morag MD & Zalman Rubinstein MD

  3. Sackler School of Medicine, Tel-Aviv University, Tel-Hashomer, Israel

    Erwin T. Jacob MD, Zaki Shapira MD, Benjamina Morag MD & Zalman Rubinstein MD

Authors
  1. Erwin T. Jacob MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Zaki Shapira MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Benjamina Morag MD
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Zalman Rubinstein MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Rights and permissions

Reprints and permissions

About this article

Cite this article

Jacob, E.T., Shapira, Z., Morag, B. et al. Hepatic infarction and gallbladder necrosis complicating arterial embolization for bleeding duodenal ulcer. Digest Dis Sci 24, 482–484 (1979). https://doi.org/10.1007/BF01299833

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01299833

Keywords

Search

Navigation