EUS-guided pancreatic pseudoaneurysm therapy: better to be lucky than good

A 37-year-old man presented with alcohol-induced chronic pancreatitis and melena. Within the prior year he had experienced multiple episodes of pseudoaneurysm-induced associated hemosuccus pancreaticus confirmed by CT angiography and duodenoscopy revealing hemobilia. The patient had undergone 3 separate efforts to treat the pseudoaneurysm, including 20 attempts during 1 procedure, with injection of microcoils and thrombin. At EUS we detected an...