Figure 5.

Seventy-two-year-old female with worsening abdominal pain and acute gastrointestinal hemorrhage. Upper gastrointestinal endoscopy reveals multiple large bleeding ulcers in the duodenum. A and B: Selective catheter angiography of the gastroduodenal and pancreaticoduodenal arteries demonstrates active extravasation; C: A combination of gelfoam slurry and coils were used to embolize branches of the pancreaticoduodenal and gastroduodenal artery; D: Representative post embolization image demonstrates no further evidence of active extravasation or bleeding.