Endoluminal hemostasis of a Dieulafoy-like lesion of the gallbladder after endoscopic ultrasound-guided biliary drainage by a lumen-apposing stent

A 57-year-old woman presented to our unit for jaundice related to pancreatic cancer with a previously stented duodenal stricture. As the duodenal papilla or choledochus was not reachable, endoscopic ultrasound (EUS)-guided gallbladder biliary drainage was achieved by cholecystogastrostomy with a lumen-apposing metal stent (LAMS) (Axios 10 mm; Boston Scientific, Marlborough, Massachusetts, USA).