RESUMO
Haemoperitoneum was observed in a peritoneal dialysis (PD) patient after undergoing endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). EUS-FNA was performed to evaluate a pancreatic cyst seen on a prekidney transplant evaluation abdominal CT scan. Haemoperitoneum cleared with a PD exchange. In this case report, we discuss aetiologies for bleeding risks in patients with chronic kidney disease and focus on haemoperitoneum in patients receiving PD. We will also explore treatment options to minimise bleeding associated with an abdominal procedure such as EUS-FNA.
Assuntos
Aspiração por Agulha Fina Guiada por Ultrassom Endoscópico/efeitos adversos , Hemoperitônio/etiologia , Falência Renal Crônica/terapia , Pâncreas/diagnóstico por imagem , Neoplasias Pancreáticas/diagnóstico , Diálise Peritoneal/métodos , Idoso , Feminino , Hemoperitônio/diagnóstico , Humanos , Falência Renal Crônica/complicações , Neoplasias Pancreáticas/complicações , Tomografia Computadorizada por Raios XRESUMO
Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA), a well-established minimally invasive gastrointestinal procedure, has been used to diagnose and stage cancers of the pancreas. We describe the successful use of EUS-FNA in a peritoneal dialysis (PD) patient to evaluate a pancreatic cyst. The patient continued on PD immediately after the procedure without using hemodialysis. The patient did not experience any complication such as infection, bleeding, or peritoneal fluid leakage.
Assuntos
Aspiração por Agulha Fina Guiada por Ultrassom Endoscópico , Falência Renal Crônica/terapia , Pseudocisto Pancreático/diagnóstico por imagem , Pseudocisto Pancreático/patologia , Diálise Peritoneal , Humanos , Falência Renal Crônica/complicações , Falência Renal Crônica/diagnóstico por imagem , MasculinoRESUMO
Angioplasty, stenting, endovascular stent grafts, and other minimally interventional techniques are becoming common techniques used for a myriad of vascular pathology. As the technology, comfort level, and technical expertise improve, the envelope of overuse is being approached or possibly superceded. We present an unusual complication of pancreatitis, pseudoaneurysm of the abdominal aorta, which was successfully treated with an endovascular stent graft.