Intra‐abdominal hemorrhage as a rare complication of endoscopic ultrasonography: A case report

Intra‐abdominal hemorrhage after endoscopic ultrasonography (EUS) is an uncommon complication, which can lead to potentially fatal outcomes. We describe a case of intra‐abdominal hemorrhage due to left gastric arterial bleeding after EUS. The patient developed severe epigastric pain 10 h after diagn...

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Detalles Bibliográficos
Autores principales: Ishigaki, Kazunaga, Nakai, Yousuke, Inokuma, Akiyuki, Suzuki, Yukari, Noguchi, Kensaku, Kanai, Sachiko, Suzuki, Tatsunori, Sato, Tatsuya, Hakuta, Ryunosuke, Saito, Kei, Saito, Tomotaka, Takahara, Naminatsu, Hamada, Tsuyoshi, Mizuno, Suguru, Kogure, Hirofumi, Nakai, Yudai, Fujishiro, Mitsuhiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley and Sons Inc. 2021
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828215/
https://www.ncbi.nlm.nih.gov/pubmed/35310736
http://dx.doi.org/10.1002/deo2.80
Descripción
Sumario:Intra‐abdominal hemorrhage after endoscopic ultrasonography (EUS) is an uncommon complication, which can lead to potentially fatal outcomes. We describe a case of intra‐abdominal hemorrhage due to left gastric arterial bleeding after EUS. The patient developed severe epigastric pain 10 h after diagnostic EUS for pancreatic cysts. Contrast‐enhanced computed tomography revealed extravasation from the left gastric artery as well as a hematoma in the lesser omentum, which was confirmed by emergent angiography. Spontaneous hemostasis was obtained without embolization and the patient did not have further episodes of intra‐abdominal hemorrhage. Endoscopists should be aware of this rare but serious complication after endoscopic procedures.

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