This case describes a rare but serious complication of endoscopic procedures, highlighting the importance of vigilance in acute care. A 79-year-old man who underwent simultaneous esophagogastroduodenoscopy and colonoscopy developed hemoperitoneum caused by injury to the short gastric artery, a branch of the splenic artery. Emergency angiography demonstrated hypervascularity, and successful hemostasis was achieved using gelfoam embolization. The patient remained stable, with no recurrent bleeding, and was discharged without complications. This case underscores the importance of meticulous procedural technique, comprehensive preprocedural evaluation, and prompt recognition of vascular injury to optimize outcomes in acute care and emergency settings. It also emphasizes the need for continued education and vigilant monitoring to reduce the risk of rare but potentially life-threatening complications in endoscopic practice, in line with the journal’s mission to advance clinical care in trauma and emergency surgery.
Kim et al. (Sun,) studied this question.
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