Transcatheter arterial embolization followed by surgical laparotomy for hemorrhagic shock due to intestinal bleeding: a case report

• DOI: 10.1186/s40792-022-01363-3
• Publication Date: 2022-01-17T08:24:24Z
• Authors: Sayumi Kurita; Kazuo Kitagawa; Naoki Toya; Mutsumi Kaji; Satoshi Yoshioka; Yuki Hiramoto; Shuichi Fujioka; Naoto Takahashi; Ken Eto
• Keywords: Hematochezia; Melena; Gastrointestinal bleeding; Arterial Embolization

Acquired jejunal diverticula are relatively rare conditions. While mostly asymptomatic, they can occasionally cause life-threatening complications requiring surgical treatment. We herein report a case of hemorrhagic shock due to diverticulum with intestinal amyloidosis that was successfully managed via transcatheter arterial embolization (TAE) and surgery.An 80-year-old female presenting hematochezia transferred our institution. Contrast-enhanced computed tomography revealed extravasation in the small bowel around upper jejunum. Massive transfusion performed subsequently planning for TAE control bleeding followed by laparotomy evaluate ischemic intestine. First, second artery selectively embolized 1:3 mixture N-butyl cyanoacrylate (NBCA) iodize oil, after which performed. Multiple were detected near Treitz' ligament, an induration NBCA palpable nearby mesentery. The intraoperative diagnosis massive from acquired jejunectomy including prevent future bleeding. Her postoperative course stable. Histological examination specimen several false amyloidosis.Hemorrhagic is extremely rare. Combined treatment appears be effective, because point identified palpation embolic material.