Arterial bleeding during EUS-guided pseudocyst drainage stopped by placement of a covered self-expandable metal stent

作者：Saftoiu Adrian; Ciobanu Lidia; Seicean Andrada^*; Tantau Marcel

来源：BMC Gastroenterology, 2013, 13(1): 93.

DOI：10.1186/1471-230X-13-93

• Endoscopic ultrasound
• Pancreatic pseudocyst
• Upper gastrointestinal bleeding
• Portal hypertension

Background: Hemorrhagic complications during EUS-guided pseudocyst drainage can occur, because the vessels on the internal wall of the pseudocyst might be compressed by the fluid and thus not visible on color Doppler or even power Doppler EUS.
Case presentation: We report a case of an immediate internal spurting arterial bleeding precipitated during EUS-guided pseudocyst drainage which stopped instantaneously by placement of a double flanged covered self-expandable metal stent through mechanical hemostasis.
Conclusion: In an unusual situation of bleeding from collateral circulation near the pseudocyst wall during pseudocyst drainage, the placement of an expandable metal stent proved to be useful.

• 出版日期2013-5-24