case_images: PMC10318342_01
case_images: CT-scan of the abdomen showing (A) the presence of blood in the stomach, aerobilia (yellow arrow) and (B) inflammation of the first part of duodenum (red arrow).
case_images: fsurg-10-1206828-g001.jpg
case_images: PMC10318342_01_fsurg-10-1206828-g001.jpg
case_images: F1
case_images: This revealed a CDF, inflammation of the first part of duodenum, signs of cholangitis and the presence of blood in the stomach (Figure 1).
case_images: Endoscopic picture showing the 1A Forrest duodenal ulcer with the presence of a choledocho-duodenal fistula (CDF) and an active bleeding of the gastro-duodenal artery around the fistula (B).
case_images: fsurg-10-1206828-g002.jpg
case_images: PMC10318342_01_fsurg-10-1206828-g002.jpg
case_images: F2
case_images: An urgent esophagogastroduodenoscopy was performed, which showed a Forrest 1A posterior duodenal ulcer with an active bleeding of the gastro-duodenal artery, as well as the presence of air and bile, which was controlled with an Over The Scope Clip (Figures 2, 3).
case_images: Endoscopic picture showing the 1A forrest duodenal ulcer treated with an over the scope clip.
case_images: fsurg-10-1206828-g003.jpg
case_images: PMC10318342_01_fsurg-10-1206828-g003.jpg
case_images: F3
case_images: An urgent esophagogastroduodenoscopy was performed, which showed a Forrest 1A posterior duodenal ulcer with an active bleeding of the gastro-duodenal artery, as well as the presence of air and bile, which was controlled with an Over The Scope Clip (Figures 2, 3).