PMC6376540_01
Contrast-enhanced abdominal computed tomography: ascites is observed on the surface of the liver.. The area mainly ranging from the dorsal aspect of the pancreatic head to the retroperitoneum around the right kidney appears iso- or hyper-enhancing.
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This site does not have contrast enhancement, and no free air or extravasation was observed inside (Figure 1).
Arteriography of the superior mesenteric artery: a 7-mm saccular aneurysm was detected in the arc of Buhler (arrow).. The gastroduodenal artery showed retrograde enhancement. No apparent extravasation was observed.
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A 7-mm saccular aneurysm was detected in the arc of Buhler (AOB) (Figure 2).
Contrast-enhanced three-dimensional abdominal computed tomography: the origin of the celiac artery is compressed from the rostral aspect and appears stenotic (arrow).
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The three-dimensional CT on admission marked that stenosis caused by the median arcuate ligament was detected at the origin of the celiac artery (Figure 3).
Esophagogastroduodenoscopy: circumferential and edematous stricture is observed in the descending portion of the duodenum.
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Esophagogastroduodenoscopy (EGD) was performed, revealing edematous stricture that was presumably caused by compression exerted from the lateral aspect of the duodenum by a hematoma in the descending portion of the duodenum (Figure 4).