Beyond Surgical Site Bleeding

We report the case of a 66-year-old female who underwent autologous breast reconstruction and sustained a massive upper gastrointestinal bleed secondary to a duodenal ulcer after using nonsteroidal anti-inflammatory drugs (NSAIDs) consistently for 2 weeks. She required resuscitation with a massive blood transfusion protocol and definitive hemorrhage control with interventional coiling of the gastroduodenal artery. We discuss the importance of …