Role of interventional radiology in the management of acute gastrointestinal bleeding

Figure 4 Sixty-six-year-old male with ongoing gastrointestinal hemorrhage requiring multiple transfusions over the last 72 h. EGD performed revealed ulcers in the first and second portion of the duodenum. A: Technetium-99m tagged RBC scan demonstrates brisk hemorrhage arising from the proximal small bowel/duodenum; B and C: Digitally subtracted images reveal active extravasation in the second portion of the duodenum from the inferior pancreaticoduodenal artery corresponding to area of hemorrhage on tagged RBC scan; D: Successful and uncomplicated coil embolization of the inferior pancreaticoduodenal artery with cessation of active hemorrhage. EGD: Esophagoduodenoscopy; RBC: Red blood cell.