Fig. 1. Indirect signs of bleeding on angiography after gastrectomy. (A) Enhanced computed tomography shows intra-abdominal hemorrhage around the liver surface and surgical clip (arrows). (B) Superior mesenteric artery angiography shows no extravasation and pseudoaneurysm (arrow, surgical clip). (C) Celiac artery angiography does not show the gastroduodenal artery clearly because of hepatopetal flow. (D) The irregular arterial wall of the anterior superior pancreaticoduodenal artery is observed (arrowhead). The microcatheter is navigated to this portion around the surgical clip, and just after cannulation, extravasation is visualized (arrows). (E) Transcatheter arterial embolization using metallic coils (arrows) is performed.
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