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. 2023 Mar 22;5(1):20220054. doi: 10.1259/bjro.20220054

Figure 5.

Figure 5.

A 62-year-old woman presented with complaints of black stools and hypotension to the hospital. A contrast-enhanced two-phase (portal venous phase and delayed phase six minutes later) CT was performed to assess the cause of bleeding. (a) In the portal venous phase, a punctate high-density area was found near the gastric pylorus (arrow). (b) A punctate high-density area is seen near the gastric pylorus in the delayed phase, and the high-density area is slightly enlarged compared with that in the portal venous phase. This is considered an active haemorrhage. (c) The VMI (40 keV) of the delayed phase shows a clear spread of contrast agent compared with the original image. VMI, virtual monochromatic image.