Splenic arteriogastric fistula from plication of a gastric ulcer. Therapeutic embolization.
Massive upper gastrointestinal hemorrhage occurred in a 66-year-old man 18 days after suture plication of a giant gastric ulcer. Arteriography revealed a splenic arteriogastric fistula. Therapeutic embolization with tissue adhesive (bucrylate) successfully controlled hemorrhage after failure of attempted particulate embolization.
D000368:Aged; D002015:Bucrylate / Q000008:administration & dosage; D004621:Embolization, Therapeutic; D005402:Fistula / Q000209:etiology / Q000628:therapy*; D005747:Gastric Fistula / Q000209:etiology / Q000628:therapy*; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000628:therapy*; D013157:Splenic Artery / Q000293:injuries*; D013276:Stomach Ulcer / Q000601:surgery*
D002015:Bucrylate