Introduction: Small-bowel massive bleeding presents a complex diagnostic and therapeutic problem. Angiography can be used for localization and embolization of the overt gastrointestinal bleeding site. Because of the complex anastomotic network of blood vessels supplying the small intestine, precise identification is complicated and surgical resection of the bleeding site is difficult. We describe angiography-directed preoperative microcoil placement for a localization of the bleeding site using intraoperative fluoroscopy during laparoscopic small-bowel resection.
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