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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Main Authors: Qing Chen, Shifeng Shao
Format: Article
Language:English
Published: Wiley 2025-05-01
Series:Clinical Case Reports
Subjects:
Online Access:https://doi.org/10.1002/ccr3.70486
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author Qing Chen
Shifeng Shao
author_facet Qing Chen
Shifeng Shao
author_sort Qing Chen
collection DOAJ
description 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.
format Article
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spelling doaj-art-af2a3e82deb24808a8e5c85056d1d7322025-08-20T03:12:19ZengWileyClinical Case Reports2050-09042025-05-01135n/an/a10.1002/ccr3.70486Management of Refractory Bleeding at the Duodenal Bulb Post‐Trauma Using OTSC Combined With Interventional Embolization: A Case ReportQing Chen0Shifeng Shao1Department of ICU, Daping Hospital Army Medical University Chongqing ChinaDepartment of ICU, Daping Hospital Army Medical University Chongqing ChinaABSTRACT 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.https://doi.org/10.1002/ccr3.70486interventional embolizationover‐the‐scope clippost‐traumastress ulcer
spellingShingle Qing Chen
Shifeng Shao
Management of Refractory Bleeding at the Duodenal Bulb Post‐Trauma Using OTSC Combined With Interventional Embolization: A Case Report
Clinical Case Reports
interventional embolization
over‐the‐scope clip
post‐trauma
stress ulcer
title Management of Refractory Bleeding at the Duodenal Bulb Post‐Trauma Using OTSC Combined With Interventional Embolization: A Case Report
title_full Management of Refractory Bleeding at the Duodenal Bulb Post‐Trauma Using OTSC Combined With Interventional Embolization: A Case Report
title_fullStr Management of Refractory Bleeding at the Duodenal Bulb Post‐Trauma Using OTSC Combined With Interventional Embolization: A Case Report
title_full_unstemmed Management of Refractory Bleeding at the Duodenal Bulb Post‐Trauma Using OTSC Combined With Interventional Embolization: A Case Report
title_short Management of Refractory Bleeding at the Duodenal Bulb Post‐Trauma Using OTSC Combined With Interventional Embolization: A Case Report
title_sort management of refractory bleeding at the duodenal bulb post trauma using otsc combined with interventional embolization a case report
topic interventional embolization
over‐the‐scope clip
post‐trauma
stress ulcer
url https://doi.org/10.1002/ccr3.70486
work_keys_str_mv AT qingchen managementofrefractorybleedingattheduodenalbulbposttraumausingotsccombinedwithinterventionalembolizationacasereport
AT shifengshao managementofrefractorybleedingattheduodenalbulbposttraumausingotsccombinedwithinterventionalembolizationacasereport