case_images: PMC6251243_01
case_images: A 43-year-old male with a history of alcoholic cirrhosis, portal hypertensive gastropathy, and gastric antral vascular ectasia was admitted 1 year ago for upper gastrointestinal bleeding. Digital subtracted angiography of the celiac artery demonstrates previously coil-embolized GDA (blue arrow) and N-butyl-cyanoacrylate embolized supraduodenal artery pseudoaneurysm (white arrow). Hemoclips from prior endoscopic intervention were also visualized (green arrow). The RGA could be visualized supplying the site of bleeding along the lesser curvature of the stomach (red arrow).
case_images: JCIS-8-46-g002.jpg
case_images: PMC6251243_01_JCIS-8-46-g002.jpg
case_images: F1
case_images: He was admitted 1 year prior for UGIB and underwent gastroduodenal artery (GDA) coil embolization and supraduodenal artery pseudoaneurysm N-butyl cyanoacrylate embolization [Figure 1].
case_images: A 43-year-old-male with a history of alcoholic cirrhosis, portal hypertensive gastropathy, and gastric antral vascular ectasia was admitted for recurrent upper gastrointestinal bleeding. Upper endoscopy shows ongoing hemorrhage emanating from the prepyloric region toward the pylorus.
case_images: JCIS-8-46-g003.jpg
case_images: PMC6251243_01_JCIS-8-46-g003.jpg
case_images: F2
case_images: Upper GI endoscopy was performed showing large amount of blood in the stomach with arterial bleeding after clot removal at the prepyloric region just proximal to the pyloric sphincter [Figure 2].
case_images: A 43-year-old-male with a history of alcoholic cirrhosis, portal hypertensive gastropathy, and gastric antral vascular ectasia was admitted for recurrent upper gastrointestinal bleeding. Embolization of the right gastric artery branches with Onyx . Postembolization fluoroscopic image demonstrates Onyx  cast material within the embolized right gastric branches (yellow arrows).
case_images: JCIS-8-46-g004.jpg
case_images: PMC6251243_01_JCIS-8-46-g004.jpg
case_images: F3
case_images: Angiography localized the bleeding to the right gastric artery (RGA) territory with subsequent embolization of the RGA branches using Onyx  (Covidien/ev3, Irvine, CA, USA) liquid embolic system [Figure 3].