Management of massive fistula bleeding after endoscopic ultrasound-guided pancreatic pseudocyst drainage using hemostatic forceps: A case report

Figure 1 Abdominal computed tomography image revealing atrophy of the pancreatic parenchyma and dilation of the main pancreatic duct with multiple stones. A pancreatic pseudocyst was located in the tail of the pancreas, measuring 9.8 cm × 8.0 cm.

Figure 2 The pancreatic fluid collection was punctured by fine-needle aspiration under endoscopic ultrasound guidance.

Figure 3 Endoscopic ultrasound images. A: After the stent placement, massive bleeding was noted from the fistula; B: The bleeding vessel was viewed within the fistula; C: Hemostasis was successfully achieved.

Figure 4 A follow-up abdominal computed tomography scan 1 mo later showed almost complete resolution of the pancreatic fluid collection.

Figure 5 The placed metal stent (A) and the stent was removed (B).