Clinical Presentation

The patient is a 64-year-old man with upper gastrointestinal bleeding.

(A) Selected image from a selective injection of the celiac trunk. A large, rounded area of extravasation of contrast arises from an anterior branch of the left hepatic artery (white arrow). The main branches of the celiac trunk are patent: the splenic artery (double black arrows) and left gastric artery (short black arrow