Open AccessIntra‐abdominal hemorrhage as a rare complication of endoscopic ultrasonography: A case report
Author(s) -
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
Publication year - 2022
Publication title -
den open
Language(s) - English
Resource type - Journals
ISSN - 2692-4609
DOI - 10.1002/deo2.80
Subject(s) - medicine , complication , radiology , extravasation , hematoma , hemostasis , angiography , abdominal pain , surgery , epigastric pain , pseudoaneurysm , embolization , melena , endoscopic ultrasonography , endoscopy , vomiting , immunology
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.