PMC10279997_01
Abdominal enhanced computed tomography scan. (a) The left gastric artery from the celiac trunk (arrow). (b) The nutrient artery of the tumor from the left gastric artery (yellow arrow) and the residual stomach (red arrow).
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Previous abdominal enhanced CT scan suggested that the nourishing artery of the tumor (Figure 1a) originated from the left gastric artery (Figure 1b) emanating from the celiac trunk.
Anastomotic carcinoma and active hemorrhage before treatment. (b) Endoscopic sclerotherapy and tissue glue injection for anastomotic carcinoma bleeding. (c) Endoscopic review shows the lesion hardened and the size of the carcinoma looks decreased.
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Bloodstains were observed on the lesion surface and in the gastric cavity (Figure 2a). Technology Co., Ltd) was inserted into the tissue rupture, the blood return was seen in the needle sheath (Video 1, Arrow), and 1 ml of tissue glue (G-NB-2 [1 ml], GEM S.R.L Ge) was subsequently injected into blood vessel immediately and precisely to block it (Figure 2b). The lesion became hardened, and the bleeding stopped immediately. The gastroscopy review after one month showed the lesion hardened, and the size of the carcinoma looks decreased (Figure 2c).