Post written by Edward Villa, MD, from the Division of Gastroenterology and Hepatology, University of Illinois at Chicago Health, Chicago, Illinois, USA.

We present a case of a patient with recurrent GI bleeding with a previously treated splenic arterial pseudoaneurysm with residual pseudoaneurysm. Using an EUS-guided embolization with thrombin and cyanoacrylate glue without coils, we were able to obliterate the residual pseudoaneurysm.

EUS-guided vascular therapies have shown to be effective in certain situations, particularly those in which previous percutaneous transcatheter arterial therapies have been attempted but insufficient.

This case report presents the identification of yet another application of therapeutic EUS that allows for more options for patient care.

CT angiography showing splenic arterial pseudoaneurysm.

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