Francisca Côrte-Real, Ana Catarina Rego, Ana Rita Silva, Nadine Amaral, Nuno Nunes, José Renato Pereira, And Maria Antónia Duarte
{"title":"Lumen-Apposing Metal Stent Bleeding Risk: Management of Splenic Artery Erosion.","authors":"Francisca Côrte-Real, Ana Catarina Rego, Ana Rita Silva, Nadine Amaral, Nuno Nunes, José Renato Pereira, And Maria Antónia Duarte","doi":"10.14309/crj.0000000000001831","DOIUrl":null,"url":null,"abstract":"<p><p>Lumen-apposing metal stents (LAMS) have been used for drainage of peripancreatic collections, although they may be associated with complications, including bleeding. We report a case of a 49-year-old male patient who developed hematemesis and syncope three and a half weeks after LAMS placement for peripancreatic collection drainage. A computed tomography scan revealed splenic artery erosion by the distal flange of the stent. Splenic artery embolization was performed before LAMS removal, and splenectomy was required 3 days later. The patient remains asymptomatic after two years of follow-up. This case demonstrates an approach to a rare but potentially fatal complication of LAMS.</p>","PeriodicalId":7394,"journal":{"name":"ACG Case Reports Journal","volume":"12 9","pages":"e01831"},"PeriodicalIF":0.5000,"publicationDate":"2025-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12419255/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"ACG Case Reports Journal","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.14309/crj.0000000000001831","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/9/1 0:00:00","PubModel":"eCollection","JCR":"Q4","JCRName":"GASTROENTEROLOGY & HEPATOLOGY","Score":null,"Total":0}
引用次数: 0
Abstract
Lumen-apposing metal stents (LAMS) have been used for drainage of peripancreatic collections, although they may be associated with complications, including bleeding. We report a case of a 49-year-old male patient who developed hematemesis and syncope three and a half weeks after LAMS placement for peripancreatic collection drainage. A computed tomography scan revealed splenic artery erosion by the distal flange of the stent. Splenic artery embolization was performed before LAMS removal, and splenectomy was required 3 days later. The patient remains asymptomatic after two years of follow-up. This case demonstrates an approach to a rare but potentially fatal complication of LAMS.
期刊介绍：
ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
