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Summary of the Event: A 57-year-old male with chronic pancreatitis presented with an enlarging pseudocyst which was treated with endoscopic ultrasound (EUS)-guided cystogastrostomy. Three days later, he presented with massive hematemesis, and abdominal computed tomography (CT) revealed hemorrhage wi...

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Bibliographic Details
Main Author: Takeshi Ogura (Author)
Format: Book
Published: Society of Gastrointestinal Intervention, 2020-10-01T00:00:00Z.
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100 1 0 |a Takeshi Ogura  |e author 
245 0 0 |a Greetings from the Guest Editor 
260 |b Society of Gastrointestinal Intervention,   |c 2020-10-01T00:00:00Z. 
500 |a 2636-0004 
500 |a 10.18528/ijgii20203 
520 |a Summary of the Event: A 57-year-old male with chronic pancreatitis presented with an enlarging pseudocyst which was treated with endoscopic ultrasound (EUS)-guided cystogastrostomy. Three days later, he presented with massive hematemesis, and abdominal computed tomography (CT) revealed hemorrhage within both the pseudocyst and the stomach. Endoscopic evaluation was impossible due to the massive amount of hematemesis. Angiography delineated a small pseudoaneurysm with contrast extravasation involving the branch of the splenic artery. Embolization using n-butyl-2 cyanoacrylate was performed leading to the immediate cessation of bleeding. Teaching Point: The risk of delayed hemorrhage after EUS-guided cystogastrostomy for a pancreatic pseudocyst should always be kept in mind. Angiography should be considered for the diagnostic and therapeutic purpose when hemostasis is not possible using an endoscope. 
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690 |a Medicine 
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690 |a Internal medicine 
690 |a RC31-1245 
690 |a Specialties of internal medicine 
690 |a RC581-951 
690 |a Neoplasms. Tumors. Oncology. Including cancer and carcinogens 
690 |a RC254-282 
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786 0 |n International Journal of Gastrointestinal Intervention, Vol 9, Iss 4, Pp 134-134 (2020) 
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