A truncated right gastroduodenal artery was identified and there was no active contrast extravasation or pseudo-aneurysm formation. Further interrogation of this segment of the vessel with a microcatheter showed contrast extravasation hence embolised using multiple coils. Post coiling angiogram revealed satisfactory occlusion of the truncated gastroduodenal artery without any further contrast extravasation. Further interrogation of inferior pancreaticoduodenal artery off the SMA did not reveal any back flow towards the superior pancreaticoduodenal artery or filling of any pseudo-aneurysm.
Delayed phase of the mesentery angiogram demonstrates good opacification of the portal venous system without any evidence of active contrast extravasation from the venous aspect. At the end of the procedure abdominal aortic angiogram performed which did not reveal any evidence of further extravasation of contrast or filling of an pseudo-aneurysm.