FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2978904070> ?p ?o ?g. }

• W2978904070 endingPage "S1364" @default.
• W2978904070 startingPage "S1363" @default.
• W2978904070 abstract "Introduction: Upper gastrointestinal bleeding (UGIB) is a common medical condition, as well as cause of morbidity and mortality. Peptic ulcer disease is the most common cause of UGIB in the United States. Helicobacter pylori and the use of NSAIDs are the most common identified risk factors. Complications of peptic ulcer disease (PUD) include bleeding, perforation, penetration, and gastric outlet obstruction. For anatomical reasons duodenal ulcers, especially posterior, are more likely to bleed and may erode into the gastroduodenal artery. However, massive UGIB due to cystic artery bleeding is extremely rare and has been reported only in few case reports. Case report: A 60-year-old female patient with a past medical history of history of renal transplant complicated by rejection, end stage renal disease on peritoneal dialysis, and benign essential hypertension presented to our institution with abdominal pain, fever, and was diagnosed with Candida peritonitis. She was admitted and started on Micafungin. Her hospital course was complicated by right upper extremity discoordination. Further evaluation including brain MRI showed acute cerebellar ischemic stroke, so Clopidogrel was initiated in combination with Aspirin that the patient was already using. Two days after initiation of dual antiplatelet therapy, she had two episodes of coffee ground emesis. Her hemoglobin dropped from 10.4 g/dl to 7.9 g/dl. Clopidogrel was held, she was started on pantoprazole continuous infusion. and esophagogastroduodenoscopy was planned. EGD showed a large ulcer in the posterior duodenal bulb with a large adherent blood clot overlying the ulcer. No endoscopic intervention was performed. Over the following night, she became hypotensive and had multiple episodes of melena. She was transferred to the intensive care unit and interventional radiology was consulted. An arteriogram was done that showed massive bleeding from the cystic artery into the duodenum, and it was successfully embolized. Her hemoglobin and vital signs stabilized following the procedure.Figure 1Figure 2Conclusion: We report a rare case of massive UGIB due to cystic artery bleeding. It should be considered in cases of bleeding duodenal ulcers especially if it's anterior or post-bulbar. Angiography and attempting embolization seems to be a reasonable approach. An important consideration when embolizing the cystic artery is the risk of necrotizing cholecystitis and the patient should be watched closely for this complication." @default.
• W2978904070 created "2019-10-10" @default.
• W2978904070 creator A5032978787 @default.
• W2978904070 creator A5035477624 @default.
• W2978904070 creator A5050858145 @default.
• W2978904070 creator A5053052220 @default.
• W2978904070 creator A5074099021 @default.
• W2978904070 date "2016-10-01" @default.
• W2978904070 modified "2023-10-17" @default.
• W2978904070 title "Massive Upper Gastrointestinal Bleeding Secondary to Cystic Artery Bleeding in to a Duodenal Ulcer: A Rare Source of Bleeding Was Controlled by Interventional Radiology" @default.
• W2978904070 doi "https://doi.org/10.14309/00000434-201610001-02720" @default.
• W2978904070 hasPublicationYear "2016" @default.
• W2978904070 type Work @default.
• W2978904070 sameAs 2978904070 @default.
• W2978904070 citedByCount "0" @default.
• W2978904070 crossrefType "journal-article" @default.
• W2978904070 hasAuthorship W2978904070A5032978787 @default.
• W2978904070 hasAuthorship W2978904070A5035477624 @default.
• W2978904070 hasAuthorship W2978904070A5050858145 @default.
• W2978904070 hasAuthorship W2978904070A5053052220 @default.
• W2978904070 hasAuthorship W2978904070A5074099021 @default.
• W2978904070 hasConcept C126322002 @default.
• W2978904070 hasConcept C141071460 @default.
• W2978904070 hasConcept C191897082 @default.
• W2978904070 hasConcept C192562407 @default.
• W2978904070 hasConcept C2776259030 @default.
• W2978904070 hasConcept C2776345487 @default.
• W2978904070 hasConcept C2776809568 @default.
• W2978904070 hasConcept C2777628954 @default.
• W2978904070 hasConcept C2777849778 @default.
• W2978904070 hasConcept C2778451229 @default.
• W2978904070 hasConcept C2778456384 @default.
• W2978904070 hasConcept C2778527123 @default.
• W2978904070 hasConcept C2780478892 @default.
• W2978904070 hasConcept C2780955771 @default.
• W2978904070 hasConcept C2781143854 @default.
• W2978904070 hasConcept C71924100 @default.
• W2978904070 hasConceptScore W2978904070C126322002 @default.
• W2978904070 hasConceptScore W2978904070C141071460 @default.
• W2978904070 hasConceptScore W2978904070C191897082 @default.
• W2978904070 hasConceptScore W2978904070C192562407 @default.
• W2978904070 hasConceptScore W2978904070C2776259030 @default.
• W2978904070 hasConceptScore W2978904070C2776345487 @default.
• W2978904070 hasConceptScore W2978904070C2776809568 @default.
• W2978904070 hasConceptScore W2978904070C2777628954 @default.
• W2978904070 hasConceptScore W2978904070C2777849778 @default.
• W2978904070 hasConceptScore W2978904070C2778451229 @default.
• W2978904070 hasConceptScore W2978904070C2778456384 @default.
• W2978904070 hasConceptScore W2978904070C2778527123 @default.
• W2978904070 hasConceptScore W2978904070C2780478892 @default.
• W2978904070 hasConceptScore W2978904070C2780955771 @default.
• W2978904070 hasConceptScore W2978904070C2781143854 @default.
• W2978904070 hasConceptScore W2978904070C71924100 @default.
• W2978904070 hasLocation W29789040701 @default.
• W2978904070 hasOpenAccess W2978904070 @default.
• W2978904070 hasPrimaryLocation W29789040701 @default.
• W2978904070 hasRelatedWork W1972715983 @default.
• W2978904070 hasRelatedWork W2080681036 @default.
• W2978904070 hasRelatedWork W2161792632 @default.
• W2978904070 hasRelatedWork W2922090324 @default.
• W2978904070 hasRelatedWork W2978491513 @default.
• W2978904070 hasRelatedWork W2978904070 @default.
• W2978904070 hasRelatedWork W2979027953 @default.
• W2978904070 hasRelatedWork W4320154593 @default.
• W2978904070 hasRelatedWork W4366588818 @default.
• W2978904070 hasRelatedWork W2527719101 @default.
• W2978904070 hasVolume "111" @default.
• W2978904070 isParatext "false" @default.
• W2978904070 isRetracted "false" @default.
• W2978904070 magId "2978904070" @default.
• W2978904070 workType "article" @default.