title: [Atypical vascular supply from the coeliac trunk. Recurrent bleeding from a duodenal ulcer].
abstract: Hemorrhagic duodenal ulcers should primarily be controlled by endoscopy. In cases of recurrent bleeding or if bleeding cannot be controlled endoscopically, open surgery is the gold standard. Rarely, atypical origin of arteries or additional atypical arteries may lead to further unexpected hemorrhagic recurrences and angiography with surgical intervention is the treatment of choice. In this article a rare case of an atypical visceral artery connecting the coeliac trunk and the gastroduodenal artery leading to recurrent bleeding from a duodenal ulcer is presented.
authors.affiliation: Klinik für Allgemeine Chirurgie, Viszeral-, Thorax- und Gefässchirurgie, Ernst-Moritz-Arndt-Universität, Friedrich-Loeffler-Strasse 23b, Greifswald, Germany. partecke@uni-greifswald.de
authors.forename: L I
authors.initials: LI
authors.lastname: Partecke
authors.forename: K
authors.initials: K
authors.lastname: Cziupka
authors.forename: J
authors.initials: J
authors.lastname: Kühn
authors.forename: C
authors.initials: C
authors.lastname: Rosenberg
authors.forename: R
authors.initials: R
authors.lastname: Puls
authors.forename: W
authors.initials: W
authors.lastname: v Bernstorff
authors.forename: A
authors.initials: A
authors.lastname: Glitsch
authors.forename: C D
authors.initials: CD
authors.lastname: Heidecke
authors.forename: A
authors.initials: A
authors.lastname: Stier
mesh_terms: D000792:Angiography; D002445:Celiac Artery / Q000002:abnormalities*; D003131:Combined Modality Therapy; D004381:Duodenal Ulcer / Q000175:diagnosis / Q000601:surgery*; D004386:Duodenum / Q000098:blood supply*; D004621:Embolization, Therapeutic; D016145:Endoscopy, Digestive System; D006801:Humans; D007267:Injections; D008297:Male; D008875:Middle Aged; D010438:Peptic Ulcer Hemorrhage / Q000175:diagnosis / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis / Q000601:surgery; D012008:Recurrence; D012083:Renin / Q000008:administration & dosage; D012086:Reoperation; D012771:Shock, Hemorrhagic / Q000175:diagnosis / Q000601:surgery; D013270:Stomach / Q000098:blood supply*; D013525:Surgical Instruments
chemical_list: D012083:Renin