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CASE REPORT
Migrating coil
  1. Kai Rou Tey1,
  2. Avin Aggarwal2,
  3. Bhaskar Banerjee3
  1. 1Department of Internal Medicine, University of Arizona College of Medicine, Tucson, Arizona, USA
  2. 2Department of Gastroenterology, University of Arizona College of Medicine, Tucson, Arizona, USA
  3. 3Department of Gastroenterology, University of Arizona, Tucson, Arizona, USA
  1. Correspondence to Dr Kai Rou Tey, kairou.tey{at}bannerhealth.com

Summary

We describe a rare case of a 60-year-old man with known history of peptic ulcer disease who presented with melena and epigastric pain secondary to coil migration into duodenal mucosa 4 years after the initial therapeutic embolisation of the gastroduodenal artery. Upper endoscopy revealed oozing duodenal ulcer at the same site of the previously located duodenal ulcer 4 years ago and metal coil impacted at the duodenal mucosa. It is unclear if the coil migration is the effect or the cause of the bleeding duodenal ulcer. Our patient was treated by surgical intervention due to failed endoscopic haemostasis and medical management.

https://doi.org/10.1136/bcr-2016-218207

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    Footnotes

    • Contributors KRT and AA are responsible for drafting of the manuscript. BB is responsible for the drafting of the manuscript and its critical revision for important intellectual content.

    • Competing interests None declared.

    • Patient consent Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.