Volume 2, Issue 5, Pages 100-101 (May 2017) EUS-guided arterial embolization with cyanoacrylate glue of a pancreatic neuroendocrine tumor infiltrating the gastric wall causing upper GI bleeding  Olaya Brewer Gutierrez, MD, Robert Moran, MD, Majidah Bukhari, MD, Yen-I Chen, MD, Mouen A. Khashab, MD  VideoGIE  Volume 2, Issue 5, Pages 100-101 (May 2017) DOI: 10.1016/j.vgie.2017.02.004 Copyright © 2017 The Authors Terms and Conditions

Figure 1 A, First endoscopy showing the gastric cavity with rests of old blood and blood clots that precluded adequate visualization. No active bleeding seen. B, Second endoscopy showing the posterior wall of the gastric body with a large 4- to 5-cm ulcer with heaped borders and extension into the deep tissue. No active bleeding or visible vessels were noted. C, MRI view showing a poorly defined hyperenhancing mass in the pancreatic tail, which abuts the greater curvature of the stomach and the anterior aspect of the spleen, and multiple centrally necrotic hyperenhancing hepatic masses compatible with metastatic disease. D, EUS view showing a hypoechoic, ill-defined, >3 cm mass in the pancreatic tail infiltrating the gastric wall. E, EUS view showing a 2-mm feeding vessel at the inferior edge of the mass. F, EUS showing a 22G FNA needle targeting the feeding vessel during embolization. MRI, magnetic resonance imaging. VideoGIE 2017 2, 100-101DOI: (10.1016/j.vgie.2017.02.004) Copyright © 2017 The Authors Terms and Conditions