Fig. 1. A 67-year-old man who underwent pylorus-preserving pancreaticoduodenectomy 6 years prior presented with massive hematemesis. (A) Computed tomography image shows contrast media extravasation in the efferent jejunal loop around the gastrojejunostomy (arrow). (B) Endoscopy failed to control active arterial bleeding at the jejunal ulcer. (C) Angiography shows pseudoaneurysm (arrow) around the endoscopic clips (arrowhead). (D) Superselective N-butyl cyanoacrylate embolization is performed through the tortuous jejunal branch and glue cast (arrow) is demonstrated on a fluoroscopic image.

Gastrointestinal Intervention 2018;7:155~157 https://doi.org/10.18528/gii180019

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