Abstract
Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) is the most efficacious method for sampling solid lesions adjacent to the gastrointestinal tract. A recent meta-analysis of EUS-FNA complications reported a bleeding rate of 0.13% [1]. Here, we present a case of hemothorax in a patient receiving anticoagulant therapy for myocardial infarction and atrial fibrillation. The hemothorax developed after the patient underwent EUSFNA for a gastric submucosal tumor. A 72-year-old man with an asymptomatic gastric submucosal tumor was admitted for a histologic diagnosis. Hehad been taking clopidogrel and aspirin regularly for 4 years. A gastric submucosal tumor had been detected 2 years previously and was increasing in size, as seen on computed tomography (● Fig.1). The clopidogrel and aspirin were discontinued for 5 days prior to EUS-FNA and on the day of EUS-FNA. Esophagogastroduodenoscopy revealed a submucosal tumor of the gastric fornix (● Fig.2). EUS revealed a well-defined hypoechoic masswith no intervening vesFig.1 Computed tomography shows a submucosal tumor of the gastric fornix (arrow) in a 72-year-old man on anticoagulant therapy for myocardial infarction and atrial fibrillation.
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