# Management of Refractory Bleeding at the Duodenal Bulb Post‐Trauma Using OTSC Combined With Interventional Embolization: A Case Report

## TL;DR

A 39-year-old woman with severe bleeding from a stomach ulcer after trauma was successfully treated using a combination of a special clip and embolization.

## Contribution

Demonstrates the effectiveness of combining OTSC and embolization for post-traumatic ulcer bleeding.

## Key findings

- OTSC placement combined with embolization successfully controlled the bleeding.
- The treatment prevented rebleeding and improved patient outcomes.
- This approach may be a viable option for refractory post-traumatic gastrointestinal bleeding.

## Abstract

Multiple traumas can lead to acute gastrointestinal mucosal erosion or ulcers, typically presenting as upper gastrointestinal bleeding, while perforation occurs rarely. Rebleeding poses a serious threat to life. Standard treatments include endoscopic electrocoagulation, tissue adhesives, and titanium clips. We report a case of a 39‐year‐old woman with post‐traumatic stress ulcer bleeding successfully managed using a combination of over‐the‐scope clip (OTSC) placement and interventional embolization. This case demonstrates the effectiveness of OTSC combined with embolization in controlling post‐traumatic ulcer bleeding and preventing recurrence.