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

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.

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Publication Details

Journal
Clinical Case Reports
Published
2025-05-01
DOI
https://doi.org/10.1002/ccr3.70486
Primary Topic
Gastrointestinal Bleeding Diagnosis and Treatment
Type
article
Field-Weighted Citation Impact
0.00
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article

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

Shifeng Shao, Qing Chen
Clinical Case Reports
Gastrointestinal Bleeding Diagnosis and Treatment
article

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

Shifeng Shao, Qing Chen
article en

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.

Clinical Case ReportsVol. 13(5)
Army Medical University (CN), Daping Hospital (CN)
Openalex Percentile: Top 85%
Gastrointestinal Bleeding Diagnosis and Treatment
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