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. 2017 Apr 28;9(4):155–177. doi: 10.4329/wjr.v9.i4.155

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©The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.

Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/

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Re-bleed after perihepatic packing. A 38-year-old male with BTA, hemodynamically unstable and taken directly to OR for perihepatic packing. DSA was contemplated in view of persistent hypotension after perihepatic packing. A and B: Selective right hepatic angiogram showed PsA arising from its posterior division (arrow). Subsequently, guidewire followed by micro catheter manipulation was done across its neck; C: Microcoil was deployed across the neck of PsA from distal to proximal followed by gelfoam embolization; D: Post embolization angiographic run showed faint opacification of posterior branch due to sluggish flow. Note brilliant opacification of anterior branch of RHA (arrow) due to reflux of contrast. OR: Operating room; RHA: Right hepatic artery; BTA: Blunt trauma abdomen; DSA: Digital subtraction angiography.