DSA (angiography) - Inferior Posterior Pancreatico
DSA obtained from superselective catheterization of a branch of the inferior pancreaticoduodenal artery demontrating the bleeding into the main pancreatic duct, extending into the duodenum.
Inferior pancreaticoduodenal artery demonstrating the expected pancreatic parenchymal blush and active bleeding into the main pancreatic duct.
Superselective catheterization better demonstrating the bleeding into the main pancreatic duct, extending into the duodenum. Embolization was performed with gelatin sponge slurry.
Last image shows postembolization of the superior mesenteric artery. Arteriogram demonstrates pruning of the pancreatic vasculature and no active bleeding.