Endovascular coil visible in a visible vessel.

was being admitted for chemotherapy for stage IV ovarian cancer. After large−vol− ume resuscitation, upper gastrointestinal endoscopy was performed because of hematemesis. A large ulcer (2 ” 2 cm) in the posterior wall of the duodenal bulb with a large, actively bleeding visible ves− sel (estimated diameter 5 ± 6 mm) was seen. Despite repeated local epinephrine injections, heater probe coagulation and endoscopic clipping, arterial bleeding persisted. These endoscopic hemostatic techniques probably failed because the diameter of the bleeding vessel was too large; endoscopic visibility was bad due to persistent fulminant bleeding and the location of the ulcer [1, 2]. Emergency sur− gery was considered too invasive because of the patient’s medical history. Angio− graphy showed massive duodenal bleed− ing after contrast injection in the gastro− duodenal artery. Multiple endovascular coils were successfully placed both distal and proximal to the bleeding focus. l" Figure 1 shows selective angiography of the common hepatic artery. Multiple coils are present in the gastroduodenal artery, obstructing the passage of con− trast fluid. The patient recovered soon after this intervention. After 4 days, upper gastrointestinal endoscopy was per− formed because of a slight decrease in the hemoglobin level. A coil was clearly seen in the center of the visible vessel (l" Figure 2).