Published online Oct 6, 2018. doi: 10.12998/wjcc.v6.i11.459
Peer-review started: May 13, 2018
First decision: June 5, 2018
Revised: June 16, 2018
Accepted: June 27, 2018
Article in press: June 27, 2018
Published online: October 6, 2018
A 55-year-old woman was referred to our hospital with abdominal pain and distension resulting from a history of pancreatic pseudocyst.
Pancreatic pseudocyst.
Walled-off necrosis and pancreatic cystic tumors.
No specific laboratory testing contributed to the diagnosis of the pancreatic pseudocyst.
Abdominal contrast-enhanced computed tomography, magnetic resonance cholangiopancreatography and endoscopic ultrasound examinations showed a pseudocyst in the tail of pancreas.
Pancreatic pseudocyst.
We performed endoscopic ultrasound-guided drainage with massive bleeding and used a balloon dilator to compress the bleeding sites.
To our knowledge, using balloon compression to achieve effective hemostasis in EUS-guided drainage for pancreatogenic portal hypertension-related bleeding has not been previously reported.
Endoscopic ultrasound-guided drainage with stenting is recognized as the standard first-line approach for a symptomatic pancreatic pseudocyst.
Balloon compression is a novel and effective form of hemostasis for endoscopic ultrasound-guided drainage with bleeding. Although this method was successful in this case, additional cases are needed to confirm our findings.