Endoscopic coagulation for massive bleeding from a gallbladder ulcer after endoscopic ultrasound-guided gallbladder drainage.

Abstract

Endoscopic ultrasound-guided gallbladder drainage (EUS-GBD) is an effective treatment for high-risk surgical cholecystitis and its use is gradually becoming more widespread. According to meta-analyses, the frequency of bleeding is low (1.8–4.3 %) [1] [2]. We report a case of arterial bleeding from a gallbladder ulcer after EUS-GBD that was successfully cauterized endoscopically and hemostasis was achieved.