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A case of successful embolotherapy for gastric ulcer bleeding from the intercostal artery after oesophagectomy and gastric reconstruction

Department of Radiology, Asan Medical Center, University of Ulsan College of Medicine, 388-1, Poongnap-2dong, Songpa-gu, Seoul 138-736, Korea

View larger version (100K): [in a new window]   Figure 1. 70-year-old man with oesophageal cancer who underwent total oesophagectomy and gastric tube reconstruction. (a) Coeliac trunk angiography shows trifurcation of the right hepatic artery, common hepatic artery, and splenic artery. The right gastric (arrowheads) and gastroepiploic arteries (arrows) pass through the mediastinum, but no bleeding site is seen. (b) Right intercostobronchial trunk (arrowheads) origins from the right wall of the aorta at the level of the left main bronchus. Active contrast leakage (arrow) from the intercostal artery is noted. (c) After embolisation with a gelatin sponge and microcoils (arrowheads), no further contrast leakage is noted.