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©2009 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Aug 14, 2009; 15(30): 3819-3822
Published online Aug 14, 2009. doi: 10.3748/wjg.15.3819
Published online Aug 14, 2009. doi: 10.3748/wjg.15.3819
Duodenal obstruction after successful embolization for duodenal diverticular hemorrhage: A case report
Yu Jin Kwon, Department of Surgery, Seoul National University College of Medicine, 28 Yeongeon-dong, Seoul 110-744, South Korea
Ji Hun Kim, Department of Surgery, Ajou University School of Medicine, San-5, Wonchondong, Yeongtonggu, Suwon 442-749, South Korea
In Ho Jeong, Department of surgery, Jeju National University School of Medicine, 1753-3, Ara 1-Dong, Jeju 690-121, South Korea
Heung Up Kim, Eun Kwang Choi, Department of internal medicine, Jeju National University School of Medicine, 1753-3, Ara 1-Dong, Jeju 690-121, South Korea
Seung Hyoung Kim, Bong Soo Kim, Department of radiology, Jeju National University School of Medicine, 1753-3, Ara 1-Dong, Jeju 690-121, South Korea
Author contributions: Jeong IH and Kim JH designed the study; Jeong IH performed all of the procedures described in the paper; Kim SH, Kim BS, Kim HU, and Choi EK provided clinical evaluation and advice; Jeong IH and Kim JH edited the manuscript; Kwon YJ wrote the paper.
Correspondence to: In Ho Jeong, MD, Department of Surgery, Jeju national University School of Medicine, 1753-3, Ara 1-Dong, Jeju 690-121, South Korea. 41056@naver.com
Telephone: +82-64-7260173
Fax: +82-64-7232240
Received: May 6, 2009
Revised: July 17, 2009
Accepted: July 24, 2009
Published online: August 14, 2009
Revised: July 17, 2009
Accepted: July 24, 2009
Published online: August 14, 2009
Abstract
We present a 69-year-old woman with a duodenal obstruction after successful selective transcatheter arterial embolization (TAE) for a duodenal diverticular hemorrhage. Two weeks after TAE, the patient showed abrupt symptoms of duodenal obstruction. Resolving hematomas after successful selective transcatheter arterial embolization should be thoroughly observed because they might result in duodenal fibrotic encasement featuring inflammatory duodenal wall thickening, duodenal deformity, dysmotility, and finally obstruction.