Haemostatic matrix for treating intra-collection bleeding after EUS-drainage and endoscopic necrosectomy of a WOPN in a cirrhotic patient

Abstract Text A 45-years-old male with alcoholic liver cirrhosis developed an infected WOPN(8.9 cm x 3 cm) filled with 90% of necrotic material, so EUS-drainage with a lumen apposing metal stent(10x20 mm) was performed followed by the first necrosectomy. A spurting bleeding suddenly occurred from a vessel of the wall during necrosectomy and haemostasis was immediately achieved by using a metal clip. At the fourth necrosectomy session, we achieved a complete cleaning of the cavity, but a wide area of the wall had an oozing bleeding, so we decided to apply a haemostatic agent into the cavity, next to the damaged wall, which immediately stopped to bleed. After further 48 hours we removed the LAMS.

Conflicts of interest

Authors do not have any conflict of interest to disclose.

Publikationsverlauf

Artikel online veröffentlicht:
14. April 2023