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The Amazing vascular Spider’s web - 1.º Prémio (Fotografia)
Rui Morais, Margarida Marques, Ana Luísa Santos, Rosa Coelho, Ana Patrícia Andrade, Hélder Cardoso, Guilherme Macedo
Centro Hospitalar São João
A 20-years-old male, with priors of cerebral palsy and neonatal portal vein thrombosis was evaluated in the emergency department due to melena. He underwent upper endoscopy that revealed a spider’s web shaped vascular lesion in the anterior portion of the duodenal bulb. During the procedure, active bleeding from the lesion was evident. Firstly, treatment with argon plasma coagulation was tried but it was not possible to stop the bleeding so it was performed radiofrequency ablation of the lesion (Halo® system). The bleeding was effectively stopped and the patient remained asymptomatic, with no evidence of recurrence in the follow-up.
Outras fotos
Intraductal Papillary Mucinous Neoplasm of the pancreas with gastric fistula
Fotografia
Distal to the Bulb, a False Tulip
Fotografia
The Amazing vascular Spider’s web
Fotografia
Combined Over-the-Scope-Clip and Detachable Snare Placement for Closure of an Enterocutaneous Fistula
Vídeo
Spyglass pancreatoscopy for diagnosis, evaluation and staging of main duct intraductal papillary mucinous neoplasm
Vídeo