28 November 2023
: Case report 
Invasive Group G Streptococcal Infection Complicated by Posterior Reversible Encephalopathy Syndrome: A Case Report
Management of emergency care, Rare coexistence of disease or pathology
Hironori Nakamura1ABCDEFG*, Seiji Adachi1BDE, Yukari Uno12BD, Masatoshi Mabuchi1BD, Makoto Shimazaki1D, Shinji Nishiwaki1D, Masahito Shimizu2DDOI: 10.12659/AJCR.942206
Am J Case Rep 2023; 24:e942206
Figure 1. An endoscopic examination was performed the next day as a second-look procedure, and gushing bleeding was found in the inner part of the duodenum (A). We performed hemostasis with a clip and the local injection of 2 ml of hypertonic saline epinephrine solution (B). On hospital day 3, celiac angiography revealed extravasation at the periphery of the gastroduodenal artery (indicated by arrow), and we performed embolization with two 2 mm×4 cm interlocking detachable coils (IDCs) (C). On hospital day 11, we attempted endoscopic hemostasis of the ulcer with exposed blood vessels (D). We achieved hemostasis using an over-the-scope clip (OTSC) (E).