PMC6280234_01
CT abdomen and pelvis without contrast showing hypodense area of bleeding.
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fig1
Patient underwent stat CT abdomen and pelvis which showed a large volume of hemorrhage in the peritoneal cavity (Figure 1).
CTA abdomen showing hyperdense area of hemorrhage.
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There was active extravasation below the inferior aspect of the spleen which appeared to be the etiology for the large volume of hemoperitoneum (Figures 2 and 3).
CTA abdomen hyperdense hemorrhaging vessel.
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fig3
There was active extravasation below the inferior aspect of the spleen which appeared to be the etiology for the large volume of hemoperitoneum (Figures 2 and 3).
Angiogram showing extravasation from ileal branch of sma and early hematoma formation.
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Ileal branch of superior mesenteric artery was identified as the source of bleeding (Figure 4).
Angiogram showing coil insertion and continued extravasation from arcade branches.
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fig5
Repeat angiogram demonstrated thrombosis of the embolized branch but continued extravasation through arcade collateral (Figure 5).