case_images: PMC9897130_01
case_images: Computed tomography scans: A) at admission; B) post-embolization; C) post-surgical control.
case_images: 1806-9460-spmj-136-06-597-gf1.jpg
case_images: PMC9897130_01_1806-9460-spmj-136-06-597-gf1.jpg
case_images: f1
case_images: A computed tomography (CT) scan showed signs of chronic pancreatitis and a bulky submucosal duodenal hematoma from the bulb to the third portion of the duodenum with intramural active bleeding in the region of the gastroduodenal artery (Figure 1A). A CT scan showed signs of visceral perforation (Figure 1B). A control CT scan demonstrated regression of the hematoma, while the signs of chronic pancreatitis continued to be present, but without evidence of exacerbation (Figure 1C).
case_images: Upper gastrointestinal endoscopy.
case_images: 1806-9460-spmj-136-06-597-gf2.jpg
case_images: PMC9897130_01_1806-9460-spmj-136-06-597-gf2.jpg
case_images: f2
case_images: Upper digestive tract endoscopy revealed a large submucosal hematoma in the duodenum, without any active bleeding into the lumen (Figure 2).
case_images: Arterial embolization: A) active bleeding in the region of the gastroduodenal artery; B) post-embolization control.
case_images: 1806-9460-spmj-136-06-597-gf3.jpg
case_images: PMC9897130_01_1806-9460-spmj-136-06-597-gf3.jpg
case_images: f3
case_images: During angiography, active bleeding was detected (Figure 3A). After embolization, no more signs of active bleeding were observed (Figure 3B).