Abstract
We present a case of locally advanced duodenal adenocarcinoma that underwent radiotherapy and chemotherapy prior to presenting with massive upper gastrointestinal bleed as well as melena. Endovascular embolization with metallic coils to occlude the gastro duodenal artery pseudoaneurysm failed to completely resolve the gastrointestinal bleed. As surgical and endoscopic interventions were not technically feasible, under computed tomography fluoroscopic guidance, a percutaneous injection of N-butyl cyanoacrylate glue was done in tumor bed to occlude the bleeding vessels.
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