Fig. 11
From: Elucidating early CT after pancreatico-duodenectomy: a primer for radiologists
Extraluminal haemorrhage in a 70-year-old man after PD for pT3N1 carcinoma of the Vaterian ampulla, who experienced acute abdominal pain on postoperative day 3: precontrast (a) showed hyperattenuating blood (*) extending ventrally from the surgical bed. Contrast-enhanced CT with thin-slab MIP reconstructions (b, c) showed a tiny focus of CM extravasation (thin arrows) consistent with active bleeding. Note normal-appearing PR, drainage tube (thick arrows). Relaparotomy was required to stop bleeding from a small artery at the site of pancreatic resection