Case Report
Copyright ©The Author(s) 2018. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Dec 6, 2018; 6(15): 1012-1017
Published online Dec 6, 2018. doi: 10.12998/wjcc.v6.i15.1012
Successful endovascular treatment of endoscopically unmanageable hemorrhage from a duodenal ulcer fed by a renal artery: A case report
Shimpei Anami, Hiroki Minamiguchi, Naoaki Shibata, Takao Koyama, Hirotatsu Sato, Akira Ikoma, Motoki Nakai, Takuji Yamagami, Tetsuo Sonomura
Shimpei Anami, Hiroki Minamiguchi, Takao Koyama, Hirotatsu Sato, Akira Ikoma, Motoki Nakai, Tetsuo Sonomura, Department of Radiology, Wakayama Medical University, Wakayamashi, Wakayama 641-8510, Japan
Hiroki Minamiguchi, Takuji Yamagami, Department of Radiology, Kochi Medical School Kochi University, Nankokushi, Kochi 783-8505, Japan
Naoaki Shibata, Department of Emergency and Critical Care Medicine, Wakayama Medical University, Wakayamashi, Wakayama 641-8510, Japan
Author contributions: Anami S and Minamiguchi H collected the patient data, prepared the figures and tables and wrote the manuscript; Shibata N, Koyama T, Sato H, Ikoma A, Nakai M, Yamagami T and Sonomura T proofread and revised the manuscript; All authors approved the final version of the manuscript.
Informed consent statement: Written and verbal informed consent was obtained from the patient’s family for publication of this case report and the accompanying images.
Conflict-of-interest statement: The authors declare no conflict of interest.
CARE Checklist (2016) statement: The authors adopted the guidelines of the CARE Checklist (2016) during the preparation and revision of the manuscript.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Hiroki Minamiguchi, MD, PhD, Associate Professor, Department of Radiology, Kochi Medical School Kochi University, Oko-cho, Nankokushi, Kochi 783-8505, Japan. hiromina4@kochi-u.ac.jp
Telephone: +81-88-8802367 Fax: +81-88-8802368
Received: August 21, 2018
Peer-review started: August 22, 2018
First decision: October 5, 2018
Revised: November 13, 2018
Accepted: November 14, 2018
Article in press: November 15, 2018
Published online: December 6, 2018
Processing time: 107 Days and 6.6 Hours
ARTICLE HIGHLIGHTS
Case characteristics

A case of hypovolemic shock with a history of recurrent duodenal ulcers.

Clinical diagnosis

Hemorrhagic duodenal ulcer.

Differential diagnosis

Other hemorrhagic lesions.

Laboratory diagnosis

Vital signs and blood tests on arrival showed hypovolemic shock.

Imaging diagnosis

Emergency endoscopy and computed tomography revealed hemorrhagic duodenal ulcers.

Pathological diagnosis

Not obtained.

Treatment

Interventional radiology.

Related reports

Based on our search of the literature, there are no other reported cases of hemorrhagic duodenal ulcer in which the culprit vessel was the right renal artery.

Term explanation

None.

Experiences and lessons

In patients with a hemorrhagic duodenal ulcer and an anomaly of the right renal artery, the right renal artery could be the culprit vessel.