Removing lumen-apposing metal stent stopped bleeding from splenic artery pseudoaneurysm during transmural drainage of walled-off pancreatic necrosis

A 45-year-old man with a walled-off pancreatic necrosis underwent endoscopic ultrasound (EUS)-guided transmural drainage using a lumen-apposing metal stent (LAMS) owing to infection and gastric outlet obstruction [1]. His clinical history included previous necrotizing pancreatitis with a splenic vein thrombosis and a laparoscopic cholecystectomy. Chronic medication included proton pump inhibitors.