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. 2021 Jan 5;10(1):73–74. doi: 10.4103/eus.eus_74_20

Table 1.

Published cases of delayed bleeding after EUS-FNA of pancreatic lesions

Author/year Sex/age Lesion Pathology FNA Anticoagulant or antiplatelet therapy Time of bleeding Bleeding lesion Outcome
Roseira et al., 2019 [3] Male/65 A pancreatic head mass in the setting of idiopathic chronic pancreatitis Not mentioned 22G needle, 3 passes from duodenal bulb No 3 weeks after EUS-FNA Intramural duodenal hematoma Conservative therapy. Improvement within 15 days
Sendino et al., 2010 [4] Not mentioned Cystic pancreatic lesion Not mentioned 19G needle, with EchoBrush Anticoagulation therapy stopped 2 days before EUS-FNA 1 week after EUS-FNA Retroperitoneal hemorrhage Died
Tomoya et al., 2015 [2] Male/64 A pancreatic body mass Invasive pancreatic ductal cancer 22G needle, 2 passes, 10 strokes each Edoxaban started after EUS-FNA to treat inferior vena cava thrombi 10 days after EUS-FNA An ulcer at the puncture site on a background of atrophied gastric mucosa Coagulation hemostasis performed with coagulation forceps, recovery
Our case Male/33 Diffusely enlarged pancreas Type I autoimmune pancreatitis 19G needle, 1 pass, 10 strokes No 6 days after EUS-FNA Mucosal swelling at the puncture site with bleeding Titanium clips, recovery

FNA: Fine needle aspiration