Endoscopic treatment of duodenal bleeding caused by direct hepatocellular carcinoma invasion with an ethanol injection

Jin Nam Kim, Hong Sik Lee, Seung Young Kim, Jung Han Kim, Sung Woo Jung, Ja Seol Koo, Hyung Joon Yim, Sang Woo Lee, Jae Hyun Choi, Chang Duck Kim, Ho Sang Ryu

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

We report a case of a man who developed duodenal bleeding caused by direct hepatocellular carcinoma (HCC) invasion, which was successfully treated with endoscopic ethanol injection. A 57-year-old man with known HCC was admitted for melena and exertional dyspnea. He had been diagnosed with inoperable HCC a year ago. Urgent esophagogastroduodenoscopy (EGD) showed two widely eroded mucosal lesions with irregularly shaped luminal protruding hard mass on the duodenal bulb. Argon plasma coagulation and Epinephrine injection failed to control bleeding. We injected ethanol via endoscopy to control bleeding two times with 14 cc and 15 cc separately without complication. Follow-up EGD catched a large ulcer with necrotic and sclerotic base but no bleeding evidence was present. He was discharged and he did relatively well during the following periods. In conclusion, Endoscopic ethanol injection can be used as a significantly effective and safe therapeutic tool in gastrointestinal tract bleeding caused by HCC invasion.

Original languageEnglish
Pages (from-to)122-125
Number of pages4
JournalGut and liver
Volume6
Issue number1
DOIs
Publication statusPublished - 2012 Jan

Keywords

  • Duodenal bleeding
  • Endoscopic treatment
  • Ethanol injection
  • Hepatocellular carcinoma

ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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