case_images: PMC6202787_01
case_images: Basic anatomy of the portosystemic circulation. Red circle delineates the site of injury.
case_images: gr1.jpg
case_images: PMC6202787_01_gr1.jpg
case_images: fig0005
case_images: One of which was from one of the supra-renal tributaries of the Inferior Vena Cava (IVC) at its lateral wall and the other coming from the SMV just inferior to the pancreas (Fig. 1).
case_images: White arrow points at the SMV after repair. Yellow arrow points at the duodenum. Blue arrow points at the transverse colon.
case_images: gr3.jpg
case_images: PMC6202787_01_gr3.jpg
case_images: fig0015
case_images: Therefore, we cleared the bleeding vessel above and below the injury, identified the lesion, applied proximal and distal pressure, and a couple of stiches were taken in a figure-of-eight manner using PDS sutures (Fig. 2, Fig. 3).
case_images: White arrow points at the pocket of pellets found in the retroperitoneum next to the aorta. Yellow arrow points at the duodenojejunal junction. Blue arrow points at the jejunum.
case_images: gr4.jpg
case_images: PMC6202787_01_gr4.jpg
case_images: fig0020
case_images: Exploration of major vessels using Mattox and Kocher maneuvers revealed a pocket of pellets next to the aorta, without other injuries (Fig. 4).