EURORAD ESR

Case 2985

Embolization of a bleeding duodenal ulcer in a patient with vascular anomaly

Author(s)
Sedati P, Macrì F, Orgera G, Sandolo F, Paciucci L
 
Patient
male, 66 year(s)
 
 
  • Figure 1
    CT image shows an extravasation of the contrast medium
     

    A CT image demonstrating the presence of an extravasation of the contrast medium in the duodenal region.

     
    Area of Interest: unknown; Imaging Technique: CT shows an extravation of contrast medium;

    A CT image demonstrating the presence of an extravasation of the contrast medium in the duodenal region.

     
    Area of Interest: unknown; Imaging Technique: CT shows an extravation of contrast medium;
     
     
  • Figure 2
    Embolization procedure
     

    DSA of the celiac trunk revealing an extravasation of the contrast medium from a proximal branch of the gastroduodenal artery (GDA) and a vascular anomaly: the cystic artery originates from the gastroduodenal artery...

     
    Area of Interest: unknown; Imaging Technique: Embolization procedure;

    DSA of the gastroduodenal artery confirming the vascular anomaly.

     
    Area of Interest: unknown; Imaging Technique: Embolization procedure;

    DSA of the cystic artery.

     
    Area of Interest: unknown; Imaging Technique: Embolization procedure;
     
     
  • Figure 3
    Vascular anatomy of the cystic artery

    Normal (A) and abnormal anatomy (B).

     
    Area of Interest: unknown; Imaging Technique: Vascular anatomy of the cystic artery;
     
     
  • Figure 4
     

    DSA of the gastroduodenal artery during the embolization procedure.

     
    Area of Interest: unknown;

    DSA of the gastroduodenal artery during the embolization procedure.

     
    Area of Interest: unknown;

    Control angiography of the celiac trunk after the procedure.

     
    Area of Interest: unknown;
     
     
  • Figure 5
     

    DSA of the superior mesenteric artery.

     
    Area of Interest: unknown;

    DSA of the superior mesenteric artery.

     
    Area of Interest: unknown;
     
     
A CT image demonstrating the presence of an extravasation of the contrast medium in the duodenal region.
 
A CT image demonstrating the presence of an extravasation of the contrast medium in the duodenal region.
 
DSA of the celiac trunk revealing an extravasation of the contrast medium from a proximal branch of the gastroduodenal artery (GDA) and a vascular anomaly: the cystic artery originates from the gastroduodenal artery instead of rising from the right hepatic artery.
 
DSA of the gastroduodenal artery confirming the vascular anomaly.
 
DSA of the cystic artery.
 
Normal (A) and abnormal anatomy (B).
 
DSA of the gastroduodenal artery during the embolization procedure.
 
DSA of the gastroduodenal artery during the embolization procedure.
 
Control angiography of the celiac trunk after the procedure.
 
DSA of the superior mesenteric artery.
 
DSA of the superior mesenteric artery.
 
 
 
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