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Journal of Medical Case Reports

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Open Access 01-12-2024 | Gastric Cancer | Case report

Postoperative delayed massive bleeding in gastric cancer: a case report

Authors: Zhongting Lu, Chenhui Qin, Mingxuan Zhang, Tao Li

Published in: Journal of Medical Case Reports | Issue 1/2024

Abstract

Background

Postoperative delayed bleeding of gastric cancer is a complication of radical gastrectomy with low incidence rate and high mortality.

Case presentation

This case report presents the case of a 63-year-old female patient of Mongolian ethnicity who was diagnosed with gastric malignancy during a routine medical examination and underwent Billroth's I gastric resection in our department. However, on the 24th day after the surgery, she was readmitted due to sudden onset of hematemesis. Gastroscopy, abdominal CT, and digital subtraction angiography revealed postoperative anastomotic fistula, rupture of the duodenal artery, and bleeding from the abdominal aorta. The patient underwent three surgical interventions and two arterial embolizations. The patient’s condition stabilized, and she was discharged successfully.

Conclusion

Currently, there are no specific guidelines for the diagnosis and treatment of pseudoaneurysms in the abdominal cavity resulting from gastric cancer surgery. Early digital subtraction angiography examination should be performed to assist in formulating treatment plans. Early diagnosis and treatment contribute to an improved overall success rate of rescue interventions.

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Title: Postoperative delayed massive bleeding in gastric cancer: a case report
Authors: Zhongting Lu
Chenhui Qin
Mingxuan Zhang
Tao Li
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Gastric Cancer
Gastric Cancer
Esophagojejunostomy
Esophagojejunostomy
Angiography
Hematemesis
Published in: Journal of Medical Case Reports / Issue 1/2024
Electronic ISSN: 1752-1947
DOI: https://doi.org/10.1186/s13256-024-04531-1

At a glance: The STEP trials

Springer Medicine

Postoperative delayed massive bleeding in gastric cancer: a case report

Abstract

Background

Case presentation

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Case presentation

Conclusion

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