PMC10017547_01
Pulsatile bleeding of the duodenal papilla after the clots were removed.
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fig1
During the procedure of locating the opening of the duodenal papilla after the clots were removed, the hemorrhage got worsened and began to present pulsating bleeding (Figure 1).
Two titanium clips were placed and the bleeding stopped.
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The bleeding stopped immediately after the clips were placed (Figure 2).
Abdominal CT showed diffuse enlargement of the pancreas and extensive peripancreatic exudation 14 h post endoscopy treatment.
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Abdominal computed tomography (CT) scan (no contrast was used) showed diffuse enlargement of the pancreas and extensive peripancreatic exudation (Figure 3).
The Dieulafoy's lesion was located at the 9 o 'clock position of the duodenal papilla.
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The duodenal papilla was clearly observed, showing a vessel stump located at the 9 o 'clock position (Figure 4).