Endovascular interventions for traumatic portal venous hemorrhage complicated by portal hypertension

Figure 2 Case 2: Traumatic hemorrhage from a jejunal varix. A: Contrast enhanced computed tomography axial image shows contrast extravasation tracking along the outer wall of the hepatico-jejunostomy loop (arrow); B: Venogram performed by a trans meso-caval shunt (white arrow) approach shows large gastric fundal varices (dotted arrow), dilated superior mesenteric vein (curved arrow). The main portal vein is obliterated (black arrow); C: Selective venogram of the hepaticojejunostomy loop branch of the superior mesenteric vein shows dilatation of this branch with active extravasation of the contrast from the hepaticojejunostomy loop (dotted arrow); D: Multiple coils were used to occlude the branch (arrow).