A rare case of extraluminal bleeding following endoscopic ultrasound examination

作者：Bonanno G; Li Destri G^*; Naso P; Russo A

来源：Acta Endoscopica, 2010, 40(1): 17-19.

DOI：10.1007/s10190-010-0003-5

• Extraluminal bleeding
• Echoendoscopy
• Epigastric pain
• Cholecystectomy
• Splenectomy

A 75-year-old man underwent endoscopic ultrasound examination for abdominal pain and jaundice. At the end of the examination, the patient presented severe epigastric pain; CT scan showed a 7-cm area of dense liquid behind the posterior gastric wall and ischemia of the spleen. Splenectomy and cholecystectomy were carried out 7 days after the symptoms. It was hypothesized that a little difficulty of the passage of the echoendoscope through the pylorus could have caused a small injury of the splenic vessel determining the extraluminal bleeding. Extraluminal hemorrhage following a conventional endoscopic ultrasound examination has not been described previously.

• 出版日期2010-2