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


ABSTRACT:

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.

SUBMITTER: Saftoiu A 

PROVIDER: S-EPMC3665445 | biostudies-literature | 2013 May

REPOSITORIES: biostudies-literature

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Publications

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

Săftoiu Adrian A   Ciobanu Lidia L   Seicean Andrada A   Tantău Marcel M  

BMC gastroenterology 20130524


<h4>Background</h4>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.<h4>Case presentation</h4>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 throu  ...[more]

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