Transhepatic Sengstaken-Blakemore tube
Patient presented after a knife wound to the abdomen.
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Sengstaken-Blakemore catheter passing through the hepatic shadow with a visibly inflated ballon.
Surgeons found, among other injuries, a hepatic laceration that could not be primarily sutured. They then passed a Sengstaken-Blakemore tube through the laceration and inflated the balloon, successfully stopping the bleeding.