Open Access Open Badges Case report

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

Adrian Săftoiu12, Lidia Ciobanu3, Andrada Seicean3* and Marcel Tantău3

Author Affiliations

1 Research Center of Gastroenterology and Hepatology Craiova, University of Medicine and Pharmacy Craiova, Romania

2 Gastrointestinal Unit, Faculty of Health and Medical Sciences, Copenhagen University, Copenhagen, Denmark

3 Regional Institute of Gastroenterology and Hepatology University of Medicine and Pharmacy Cluj-Napoca, Romania

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BMC Gastroenterology 2013, 13:93  doi:10.1186/1471-230X-13-93

Published: 24 May 2013



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.


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.

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