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  • Haemoperitoneum after an endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) of a pancreatic lesion in a peritoneal dialysis patient

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Unexpected outcome (positive or negative) including adverse drug reactions
Case report
Haemoperitoneum after an endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) of a pancreatic lesion in a peritoneal dialysis patient
  1. Susie Q Lew,
  2. Ali A Khan,
  3. Brandon Rieders and
  4. Satyanisth T Agrawal
  1. Medicine, George Washington University, Washington, District of Columbia, USA
  1. Correspondence to Dr Susie Q Lew; sqlew{at}gwu.edu

Abstract

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.

  • pancreas and biliary tract
  • chronic renal failure
  • dialysis

https://doi.org/10.1136/bcr-2020-236573

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    Footnotes

    • Contributors Discuss planning: SQL, STA. Conduct: SQL, AAK, BR, STA. Reporting: SQL, AAK, BR, STA. Conception and design: SQL, AAK, BR, STA. Acquisition of data or analysis: SQL, AAK, BR, STA. Interpretation of data: SQL, AAK, BR, STA.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Patient consent for publication Obtained.

    • Provenance and peer review Not commissioned; externally peer reviewed.