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

Kazunaga Ishigaki; Yousuke Nakai; Akiyuki Inokuma; Yukari Suzuki; Kensaku Noguchi; Sachiko Kanai; Tatsunori Suzuki; Tatsuya Sato; Ryunosuke Hakuta; Kei Saito; Tomotaka Saito; Naminatsu Takahara; Tsuyoshi Hamada; Suguru Mizuno; Hirofumi Kogure; Yudai Nakai; Mitsuhiro Fujishiro

doi:10.1002/deo2.80

DEN Open (Apr 2022)

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

Kazunaga Ishigaki,
Yousuke Nakai,
Akiyuki Inokuma,
Yukari Suzuki,
Kensaku Noguchi,
Sachiko Kanai,
Tatsunori Suzuki,
Tatsuya Sato,
Ryunosuke Hakuta,
Kei Saito,
Tomotaka Saito,
Naminatsu Takahara,
Tsuyoshi Hamada,
Suguru Mizuno,
Hirofumi Kogure,
Yudai Nakai,
Mitsuhiro Fujishiro

Affiliations

Kazunaga Ishigaki: Department of Gastroenterology Graduate School of Medicine the University of Tokyo Tokyo Japan
Yousuke Nakai: Department of Gastroenterology Graduate School of Medicine the University of Tokyo Tokyo Japan
Akiyuki Inokuma: Department of Gastroenterology Graduate School of Medicine the University of Tokyo Tokyo Japan
Yukari Suzuki: Department of Gastroenterology Japanese Red Cross Medical Center Tokyo Japan
Kensaku Noguchi: Department of Gastroenterology Graduate School of Medicine the University of Tokyo Tokyo Japan
Sachiko Kanai: Department of Gastroenterology Graduate School of Medicine the University of Tokyo Tokyo Japan
Tatsunori Suzuki: Department of Gastroenterology Graduate School of Medicine the University of Tokyo Tokyo Japan
Tatsuya Sato: Department of Gastroenterology Kanto Central Hospital Tokyo Japan
Ryunosuke Hakuta: Department of Gastroenterology Graduate School of Medicine the University of Tokyo Tokyo Japan
Kei Saito: Department of Gastroenterology Graduate School of Medicine the University of Tokyo Tokyo Japan
Tomotaka Saito: Department of Gastroenterology Graduate School of Medicine the University of Tokyo Tokyo Japan
Naminatsu Takahara: Department of Gastroenterology Graduate School of Medicine the University of Tokyo Tokyo Japan
Tsuyoshi Hamada: Department of Gastroenterology Graduate School of Medicine the University of Tokyo Tokyo Japan
Suguru Mizuno: Department of Gastroenterology Graduate School of Medicine the University of Tokyo Tokyo Japan
Hirofumi Kogure: Department of Gastroenterology Graduate School of Medicine the University of Tokyo Tokyo Japan
Yudai Nakai: Department of Radiology Graduate School of Medicine the University of Tokyo Tokyo Japan
Mitsuhiro Fujishiro: Department of Gastroenterology Graduate School of Medicine the University of Tokyo Tokyo Japan

DOI: https://doi.org/10.1002/deo2.80
Journal volume & issue: Vol. 2, no. 1
pp. n/a – n/a

Abstract

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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.

Published in DEN Open

ISSN: 2692-4609 (Online)
Publisher: Wiley
Country of publisher: Australia
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the digestive system. Gastroenterology
Website: https://onlinelibrary.wiley.com/journal/26924609

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Abstract

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