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

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

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Article number	e80
Journal	DEN Open
Volume	2
Issue number	1
DOIs	https://doi.org/10.1002/deo2.80
Publication status	Published - Apr 2022
Externally published	Yes

Keywords

complication
endoscopic ultrasonography
intra-abdominal hemorrhage

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10.1002/deo2.80

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Ishigaki, K., Nakai, Y., Inokuma, A., Suzuki, Y., Noguchi, K., Kanai, S., Suzuki, T., Sato, T., Hakuta, R., Saito, K., Saito, T., Takahara, N., Hamada, T., Mizuno, S., Kogure, H., Nakai, Y., & Fujishiro, M. (2022). Intra-abdominal hemorrhage as a rare complication of endoscopic ultrasonography: A case report. DEN Open, 2(1), Article e80. https://doi.org/10.1002/deo2.80

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title = "Intra-abdominal hemorrhage as a rare complication of endoscopic ultrasonography: A case report",

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",

author = "Kazunaga Ishigaki and Yousuke Nakai and Akiyuki Inokuma and Yukari Suzuki and Kensaku Noguchi and Sachiko Kanai and Tatsunori Suzuki and Tatsuya Sato and Ryunosuke Hakuta and Kei Saito and Tomotaka Saito and Naminatsu Takahara and Tsuyoshi Hamada and Suguru Mizuno and Hirofumi Kogure and Yudai Nakai and Mitsuhiro Fujishiro",

note = "Publisher Copyright: {\textcopyright} 2021 The Authors. DEN Open published by John Wiley & Sons Australia, Ltd on behalf of Japan Gastroenterological Endoscopy Society.",

year = "2022",

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doi = "10.1002/deo2.80",

language = "English",

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TY - JOUR

T1 - Intra-abdominal hemorrhage as a rare complication of endoscopic ultrasonography

T2 - A case report

AU - Ishigaki, Kazunaga

AU - Nakai, Yousuke

AU - Inokuma, Akiyuki

AU - Suzuki, Yukari

AU - Noguchi, Kensaku

AU - Kanai, Sachiko

AU - Suzuki, Tatsunori

AU - Sato, Tatsuya

AU - Hakuta, Ryunosuke

AU - Saito, Kei

AU - Saito, Tomotaka

AU - Takahara, Naminatsu

AU - Hamada, Tsuyoshi

AU - Mizuno, Suguru

AU - Kogure, Hirofumi

AU - Nakai, Yudai

AU - Fujishiro, Mitsuhiro

PY - 2022/4

Y1 - 2022/4

N2 - 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.

AB - 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.

KW - complication

KW - endoscopic ultrasonography

KW - intra-abdominal hemorrhage

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U2 - 10.1002/deo2.80

DO - 10.1002/deo2.80

M3 - Article

AN - SCOPUS:85185685907

SN - 2692-4609

VL - 2

JO - DEN Open

JF - DEN Open

IS - 1

M1 - e80

ER -

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

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Keywords

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