Percutaneous acrylic glue injection to control bleed in doudenal carcinoma in a case of failed endovascular embolization: case report.
We present a case of locally advanced duodenal adenocarcinoma that underwent radiotherapy and chemotherapy prior to presenting with massive upper gastrointestinal bleed as well as melena. Endovascular embolization with metallic coils to occlude the gastro duodenal artery pseudoaneurysm failed to completely resolve the gastrointestinal bleed. As surgical and endoscopic interventions were not technically feasible, under computed tomography fluoroscopic guidance, a percutaneous injection of N-butyl cyanoacrylate glue was done in tumor bed to occlude the bleeding vessels.
Lal
Anupam
A
Department of Radiodiagnosis, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India. dralal@rediffmail.com
Khandelwal
Saurabh
S
Yadav
Thakur Deen
TD
Kapoor
Rakesh
R
Sinha
Saroj Kant
SK
Khandelwal
Niranjan
N
D000328:Adult; D002277:Carcinoma / Q000188:drug therapy*; D004379:Duodenal Neoplasms / Q000188:drug therapy*; D004621:Embolization, Therapeutic; D004635:Emergency Medicine; D004659:Enbucrilate / Q000008:administration & dosage / Q000627:therapeutic use*; D006470:Hemorrhage / Q000188:drug therapy; D006801:Humans; D007267:Injections; D008297:Male
D004659:Enbucrilate