Related Experiment Video
Updated: Jul 2, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
Published on: November 15, 2024
Splenic Artery Hemorrhage as a Rare Delayed Complication of Percutaneous Endoscopic Gastrostomy
Joshua E Pagán-Busigó1, Ethan Shamsian1, Rohan Karkra1
1Department of Internal Medicine, Rutgers New Jersey Medical School, Newark, NJ.
Abstract:
Percutaneous endoscopic gastrostomy (PEG) is commonly used for long-term enteral access in patients with dysphagia. We report a 67-year-old man with laryngeal carcinoma, prior stroke, and severe dysphagia who developed delayed hemorrhage from a branch of the splenic artery 7 days after PEG placement. He presented with abdominal pain, bleeding through the PEG tube, profound anemia, and hemodynamic instability. Imaging showed hemorrhage in the lesser sac, and angiography confirmed active splenic artery branch bleeding. Endovascular embolization achieved hemostasis. This rare complication is notable for its delayed presentation and favorable outcome after prompt intervention.
Related Concept Videos
Esophageal Perforation-I: Introduction
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Esophageal Perforation-II: Clinical Manifestations and Management
Clinical Manifestations:
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Esophageal Varices-I: Introduction
Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
Peptic Ulcer Disease III: Clinical Manifestations and Complications