PMC9897130_01
Computed tomography scans: A) at admission; B) post-embolization; C) post-surgical control.
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A computed tomography (CT) scan showed signs of chronic pancreatitis and a bulky submucosal duodenal hematoma from the bulb to the third portion of the duodenum with intramural active bleeding in the region of the gastroduodenal artery (Figure 1A). A CT scan showed signs of visceral perforation (Figure 1B). A control CT scan demonstrated regression of the hematoma, while the signs of chronic pancreatitis continued to be present, but without evidence of exacerbation (Figure 1C).
Upper gastrointestinal endoscopy.
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Upper digestive tract endoscopy revealed a large submucosal hematoma in the duodenum, without any active bleeding into the lumen (Figure 2).
Arterial embolization: A) active bleeding in the region of the gastroduodenal artery; B) post-embolization control.
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During angiography, active bleeding was detected (Figure 3A). After embolization, no more signs of active bleeding were observed (Figure 3B).