Uncommon complications arising during endoscopic ultrasound-guided gastroenterostomy – splenic injury

Video 1 Uncommon complications arising during endoscopic ultrasoundguided gastroenterostomysplenic -injury. Fig. 3 EUS images revealed damage to the spleen caused by the puncture needle.a The tip of the puncture needle penetrated into the spleen.b The high-echo gas shadow inside the spleen after the needle tip was retracted.Abbreviation: EUS, endoscopic ultrasound. Fig. 4 The release position of the stent was ideal.a Methylene blue dye flowed smoothly from the jejunum into the stomach cavity through the stent.b The exact position of the stent under X-ray. Fig. 5 Comparison of preoperative and postoperative CT imaging of the spleen.a Normal splenic morphology prior to surgery.b Postoperative splenic swelling, subcapsular hematoma, and intraperitoneal hemorrhage.c One month post-surgery, the spleen's shape had returned to normal.