Management of Refractory Bleeding at the Duodenal Bulb Post‐Trauma Using OTSC Combined With Interventional Embolization: A Case Report

ABSTRACT 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, an...

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Bibliographic Details
Main Authors: Qing Chen, Shifeng Shao
Format: Article
Language:English
Published: Wiley 2025-05-01
Series:Clinical Case Reports
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Online Access:https://doi.org/10.1002/ccr3.70486
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Summary:ABSTRACT 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.
ISSN:2050-0904