Treatment of massive pancreaticojejunal anastomotic hemorrhage after pancreatoduodenectomy

Figure 1 Images from patient 2 (treated using TAE). A: Angiogram of the gastroduodenal stump bleeding before the first embolization. Arrow: Angiogram of the gastroduodenal stump bleeding; B: Angiogram of the gastroduodenal stump, which stopped bleeding after the first TAE. Arrow: Angiogram of the gastroduodenal stump); C: Angiogram of the stump prior to the second embolization. Angiography indicates that microcoils have entered the hepatic artery, causing renewed bleeding from the stump. Arrows: The second angiogram of the gastroduodenal stump bleeding; D: After the second embolization, angiography confirmed that the bleeding was stopped. Arrow: Angiogram of the gastroduodenal stump.