Intra-abdominal hemorrhage as a rare complication of endoscopic ultrasonography: A case report.
Kazunaga IshigakiYousuke NakaiAkiyuki InokumaYukari SuzukiKensaku NoguchiSachiko KanaiTatsunori SuzukiTatsuya SatoRyunosuke HakutaKei SaitoTomotaka SaitoNaminatsu TakaharaTsuyoshi HamadaSuguru MizunoHirofumi KogureYudai NakaiMitsuhiro FujishiroPublished in: DEN open (2021)
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.
Keyphrases
- contrast enhanced
- computed tomography
- ultrasound guided
- magnetic resonance imaging
- fine needle aspiration
- diffusion weighted
- magnetic resonance
- diffusion weighted imaging
- positron emission tomography
- case report
- dual energy
- optical coherence tomography
- pain management
- atrial fibrillation
- early onset
- image quality
- weight loss
- endoscopic submucosal dissection
- metabolic syndrome
- spinal cord
- breast reconstruction
- glycemic control