Fig. 26

Postoperative hemorrhage. 67-year-old patient during early complicated postoperative. a–c Axial non-contrast, arterial and portal venous phase, respectively. Shows blood collection in the surgical bed (thick white arrow in (a), no active bleeding was seen. Remnant pancreas was preserved (dotted arrow in b and c). (d) CT scan performed three days later due to decreasing hematocrit shows known hematic collection increased in size (curved arrows). (e, f) Digital angiography shows no signs of active bleeding, but there is diffuse spasm of the celiac trunk (dotted black arrows in e) Portal-mesenteric veins were preserved. Exploratory laparotomy confirms hemoperitoneum with retroperitoneal branch-dependent bleeding