Fig. 5. Active bleeding after endoscopic ampullectomy for ampullary adenoma. (A) The initial endoscopic ultrasound showed an approximately 0.9-cm sized, round, and low echoic mass on the ampulla of Vater. (B) Profuse bleeding was noted on endoscopy. Endoscopic bleeding control was unsuccessful. (C) A celiac angiogram shows contrast extravasation (arrow) from the inferior pancreaticoduodenal artery. (D) After embolization using N-butyl cyanoacrylate, the celiac angiogram showed no further bleeding focus.
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