AI Article Synopsis

  • Intra-abdominal hemorrhage is a rare but serious complication that can occur after endoscopic ultrasonography (EUS), possibly leading to fatal outcomes.
  • A case study highlights a patient who experienced severe abdominal pain 10 hours post-EUS, revealing bleeding from the left gastric artery through imaging tests.
  • Fortunately, the bleeding stopped on its own without the need for intervention, emphasizing the importance of awareness among endoscopists regarding this potential risk.

Article 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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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8828215PMC
http://dx.doi.org/10.1002/deo2.80DOI Listing

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