Intra‐abdominal hemorrhage as a rare complication of endoscopic ultrasonography: A case report. Issue 1 (1st December 2021)

• Record Type: Journal Article
• Authors: 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
• Is Part Of: DEN open. Volume 2:Issue 1(2022)
• Page Start: n/a
• Page End: n/a
• Publication Date: 2021-12-01
• Subjects: complication -- endoscopic ultrasonography -- intra‐abdominal hemorrhage; Gastrointestinal system -- Diseases -- Endoscopic surgery -- Periodicals; Gastroenterology -- Periodicals; 616.3307545
• DOI: 10.1002/deo2.80
• Languages: English
• ISSNs: 2692-4609

Abstract

Abstract: 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.