Delayed Bleeding After Endoscopic Ultrasound-guided Hepaticogastrostomy due to Pseudoaneurysm Rupture in a Patient Who Underwent Plastic Stent Placement: A Case Report.

ABSTRACT: Endoscopic ultrasound-guided hepaticogastrostomy (EUS-HGS) is a useful alternative treatment for endoscopic retrograde cholangiopancreatography (ERCP) failure. However, serious complications sometimes occur. Bleeding is an early complication that occurs during puncture; however, there have been some reports of late-onset rupture of a pseudoaneurysm. These reports describe cases of patients who underwent metal stent placement. Herein, we report the first case of pseudoaneurysm formation after plastic stent placement via EUS-HGS. The patient was a 75-year-old man with obstructive jaundice due to pancreatic head cancer. ERCP was unsuccessful, and EUS-HGS was performed with plastic stent placement from B3. The patient subsequently experienced repeated HGS stent failure within a short period, a

SUBMITTER: Takano K 

PROVIDER: S-EPMC12504042 | biostudies-literature | 2026 Apr

REPOSITORIES: biostudies-literature