EUS-guided gastrojejunostomy for relief of gastric outlet obstruction from a large duodenal hematoma

摘要

A 44-year-old man with a history of alcoholic pancreatitis presented with 6 weeks of nausea, vomiting, and inability to tolerate oral intake. He reported a preceding fall while intoxicated, resulting in a blunt-force injury to the abdomen. CT demonstrated a pancreatic pseudocyst and large hematoma compressing the second and third portions of the duodenum with gastric outlet obstruction (GOO) (Fig. 1).