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
Abstract
Read online
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.
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