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First report of successful treatment of splenic artery pseudoaneurysm with endoscopic ultrasound-guided coil and glue

2017; Thieme Medical Publishers (Germany); Volume: 49; Issue: 07 Linguagem: Inglês

10.1055/s-0043-109790

1438-8812

Praveer Rai, Bhavin Bhera, Malay Sharma,

Gastrointestinal Bleeding Diagnosis and Treatment

A 33-year-old man with chronic alcoholism presented with recurrent episodes of hematemesis and melena over an 18-month period. He had received about 20 units of packed red blood cells (PRBC). Upper gastrointestinal (GI) endoscopy performed elsewhere showed large esophageal varices and gastric varices (GOV2F2) for which three sessions of endoscopic sclerotherapy and glue injection had been performed. An abdominal ultrasound showed normal liver, with splenic vein thrombosis and collaterals around the splenic hilum.