Abstract Text
A 25-year-old man with polytrauma and splenic laceration underwent splenic artery (SA) embolization. He subsequently developed an infected traumatic pancreatic collection which was treated with EUS-guided drainage using a LAMS. Four weeks later , he presented with upper gastrointestinal bleeding. CT-angiography revealed distal SA irregularity; however endovascular access was not feasible . EUS identified two SA-dependent arterial branches in direct contact with the LAMS. Both were punctured transgastrically with a 22G needle and successfully embolized with coils (18S, 10/5–Tornado), allowing safe subsequent stent extraction. Post-procedure CT confirmed successful embolization and resolution of the collection. No further bleeding was documented during follow-up. This case highlights EUS-guided vascular embolization as an effective alternative when interventional radiology is not feasible.