Delayed Esophageal Hemorrhage Caused by a Metal Stent: Treatment with Embolization

[en] We report a case of life-threatening esophageal hemorrhage after metal stent implantation successfully treated by arterial embolization. An 85-year-old woman was admitted in shock secondary to massive hematemesis and melena. Recent medical history revealed esophageal cancer treated 8 weeks previously by endoesophageal radiotherapy (40 Gy) and endoscopic placement of a covered Wall-stent prosthesis. Selective arteriography of the fifth posterior right intercostal artery showed massive contrast extravasation in the esophagus. Embolization was performed with 150-250-micron polyvinyl alcohol particles. Follow-up at 5 months was uneventful. Arteriography and embolization are advised when severe hemorrhage occurs after esophageal implantation of metal stents.

Disciplines :

Radiology, nuclear medicine & imaging

Author, co-author :

Kos, Xavier; Université de Liège - ULiège

Trotteur, Geneviève ; Université de Liège - ULiège > Services généraux (Faculté de médecine) > Relations académiques et scientifiques (Médecine)

Dondelinger, Robert ; Université de Liège - ULiège > Département des sciences cliniques > Département des sciences cliniques

Language :

English

Title :

Delayed Esophageal Hemorrhage Caused by a Metal Stent: Treatment with Embolization

Publication date :

1998

Journal title :

Cardiovascular and Interventional Radiology

ISSN :

0174-1551

eISSN :

1432-086X

Publisher :

Springer, Germany

Volume :

Issue :

5, Sep-Oct

Pages :

428-30

Peer reviewed :

Peer Reviewed verified by ORBi

Available on ORBi :

since 14 December 2021

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