PMC9304685_01
Plain CT scan (liver window A to C) showing irregular low-density lesions (pink circles) in SIVA and II, AAST Grade IV laceration and SVI, and AAST Grade III laceration.
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PMC9304685_01_fsurg-09-930581-g001.jpg
F1
American Association for the Surgery of Trauma's Organ Injury Scaling (AAST-OIS) (Figure 1). After admission, the Hb level declined to 71 g/L.
PMC9304685_02
Gastroduodenoscopy revealing active bleeding with fresh blood from the duodenal papilla (white triangle) (A). Hepatic arteriography showed contrast extravasation from the branch of the left hepatic artery (white arrow) (B) and selective transcatheter arterial embolization was successfully implemented (C, white arrow).
fsurg-09-930581-g002.jpg
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F2
Emergent re-gastroscopy showed active bleeding from the duodenal papilla (Figure 2A). Post-embolization angiography showed a complete occlusion of the pseudoaneurysm and no contrast medium extravasation (Figures 2B,C).