Ishigaki Kazunaga, Nakai Yousuke, Inokuma Akiyuki, Suzuki Yukari, Noguchi Kensaku, Kanai Sachiko, Suzuki Tatsunori, Sato Tatsuya, Hakuta Ryunosuke, Saito Kei, Saito Tomotaka, Takahara Naminatsu, Hamada Tsuyoshi, Mizuno Suguru, Kogure Hirofumi, Nakai Yudai, Fujishiro Mitsuhiro
Department of Gastroenterology Graduate School of Medicine the University of Tokyo Tokyo Japan.
Department of Chemotherapy Graduate School of Medicine the University of Tokyo Tokyo Japan.
DEN Open. 2021 Dec 1;2(1):e80. doi: 10.1002/deo2.80. eCollection 2022 Apr.
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.
内镜超声检查（EUS）后腹腔内出血是一种罕见的并发症，可能导致潜在的致命后果。我们描述了一例EUS后因胃左动脉出血导致腹腔内出血的病例。该患者在因胰腺囊肿进行诊断性EUS检查10小时后出现严重上腹部疼痛。对比增强计算机断层扫描显示胃左动脉有造影剂外渗以及小网膜内有血肿，急诊血管造影证实了这一点。未进行栓塞治疗即实现了自发止血，患者未再发生腹腔内出血。内镜医师应意识到内镜检查术后这种罕见但严重的并发症。
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