A CASE OF BLEEDING ESOPHAGEAL ULCER FOLLOWING TREATMENT FOR ESOPHAGEAL VARICES IN WHICH TRANSCATHETER ARTERIAL EMBOLIZATION WAS USEFUL FOR HEMOSTASIS

Abstract

A 39-year-old man with alcoholic cirrhosis was hospitalized because of hematemesis. In the previous 2 years, he had frequently experienced hemorrhage from esophageal varices. He had undergone endoscopic variceal ligation or endoscopic injection sclerotherapy each time. Emergency endoscopic examination at the time of presentation showed an arterial hemorrhagic esophageal ulcer in the lower esophagus. We attempted endoscopic hemostasis using a hemoclip, but were not successful. Abdominal angiography showed hemorrhage from a branch of the left gastric artery. Subsequently, we successfully achieved hemostasis with coils using transcatheter arterial embolization.