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

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

DEN Open. 2021 Dec 1;2(1):e80. doi: 10.1002/deo2.80. eCollection 2022 Apr.

Authors

Kazunaga Ishigaki^{1

2}, Yousuke Nakai^{1

3}, Akiyuki Inokuma¹, Yukari Suzuki⁴, Kensaku Noguchi¹, Sachiko Kanai¹, Tatsunori Suzuki¹, Tatsuya Sato⁵, Ryunosuke Hakuta^{1

3}, Kei Saito¹, Tomotaka Saito¹, Naminatsu Takahara¹, Tsuyoshi Hamada¹, Suguru Mizuno¹, Hirofumi Kogure¹, Yudai Nakai⁶, Mitsuhiro Fujishiro¹

Affiliations

¹ Department of Gastroenterology Graduate School of Medicine the University of Tokyo Tokyo Japan.
² Department of Chemotherapy Graduate School of Medicine the University of Tokyo Tokyo Japan.
³ Department of Endoscopy and Endoscopic Surgery Graduate School of Medicine the University of Tokyo Tokyo Japan.
⁴ Department of Gastroenterology Japanese Red Cross Medical Center Tokyo Japan.
⁵ Department of Gastroenterology Kanto Central Hospital Tokyo Japan.
⁶ Department of Radiology Graduate School of Medicine the University of Tokyo Tokyo Japan.

PMID: 35310736
PMCID: PMC8828215
DOI: 10.1002/deo2.80

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.

Keywords: complication; endoscopic ultrasonography; intra‐abdominal hemorrhage.

Publication types

Case Reports