Figure 1. An endoscopic examination was performed the next day as a second-look procedure, and gushing bleeding was found in the inner part of the duodenum (A). We performed hemostasis with a clip and the local injection of 2 ml of hypertonic saline epinephrine solution (B). On hospital day 3, celiac angiography revealed extravasation at the periphery of the gastroduodenal artery (indicated by arrow), and we performed embolization with two 2 mm×4 cm interlocking detachable coils (IDCs) (C). On hospital day 11, we attempted endoscopic hemostasis of the ulcer with exposed blood vessels (D). We achieved hemostasis using an over-the-scope clip (OTSC) (E).