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Pancreatic Pseudocyst after Endoscopic Ultrasound-Guided Fine Needle Aspiration of Pancreatic Mass
Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is well known as a safe diagnostic procedure. We report the first case of pancreatic pseudocyst after EUS-FNA of the pancreatic body mass. A 60-year-old male underwent EUS-FNA for incidentally detected pancreatic solid mass which was susp...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Korean Society of Gastrointestinal Endoscopy
2012
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3521949/ https://www.ncbi.nlm.nih.gov/pubmed/23251895 http://dx.doi.org/10.5946/ce.2012.45.4.431 |
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author | Chung, Kwang Hyun Ryu, Ji Kon Oh, Hong Sang Seo, Ji Yeon Jin, Eunhyo Lee, Dong Hyeon Kim, Yong-Tae Yoon, Yong Bum |
author_facet | Chung, Kwang Hyun Ryu, Ji Kon Oh, Hong Sang Seo, Ji Yeon Jin, Eunhyo Lee, Dong Hyeon Kim, Yong-Tae Yoon, Yong Bum |
author_sort | Chung, Kwang Hyun |
collection | PubMed |
description | Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is well known as a safe diagnostic procedure. We report the first case of pancreatic pseudocyst after EUS-FNA of the pancreatic body mass. A 60-year-old male underwent EUS-FNA for incidentally detected pancreatic solid mass which was suspected as neuroendocrine tumor. Two weeks later, the patient visited emergency room with acute abdominal pain and right upper quadrant tenderness; leukocytosis and elevated C-reactive protein, amylase, and lipase levels were noted. Computed tomography discovered newly developed 11.5×9.5 cm sized cystic mass communicating with the main pancreatic duct. Cyst fluid analysis revealed amylase level of 3,423 U/L and fluid culture isolated Streptococcus parasanguinis. The cystic mass corresponds with pancreatic pseudocyst. FNA induced main pancreatic duct injury and fluid leakage may cause it. Endoscopists who perform EUS-FNA must remember that pancreatic main duct injury can occur as one of severe complications and that it could be treated successfully with endoscopic internal drainage. |
format | Online Article Text |
id | pubmed-3521949 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2012 |
publisher | The Korean Society of Gastrointestinal Endoscopy |
record_format | MEDLINE/PubMed |
spelling | pubmed-35219492012-12-18 Pancreatic Pseudocyst after Endoscopic Ultrasound-Guided Fine Needle Aspiration of Pancreatic Mass Chung, Kwang Hyun Ryu, Ji Kon Oh, Hong Sang Seo, Ji Yeon Jin, Eunhyo Lee, Dong Hyeon Kim, Yong-Tae Yoon, Yong Bum Clin Endosc Case Report Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is well known as a safe diagnostic procedure. We report the first case of pancreatic pseudocyst after EUS-FNA of the pancreatic body mass. A 60-year-old male underwent EUS-FNA for incidentally detected pancreatic solid mass which was suspected as neuroendocrine tumor. Two weeks later, the patient visited emergency room with acute abdominal pain and right upper quadrant tenderness; leukocytosis and elevated C-reactive protein, amylase, and lipase levels were noted. Computed tomography discovered newly developed 11.5×9.5 cm sized cystic mass communicating with the main pancreatic duct. Cyst fluid analysis revealed amylase level of 3,423 U/L and fluid culture isolated Streptococcus parasanguinis. The cystic mass corresponds with pancreatic pseudocyst. FNA induced main pancreatic duct injury and fluid leakage may cause it. Endoscopists who perform EUS-FNA must remember that pancreatic main duct injury can occur as one of severe complications and that it could be treated successfully with endoscopic internal drainage. The Korean Society of Gastrointestinal Endoscopy 2012-11 2012-11-30 /pmc/articles/PMC3521949/ /pubmed/23251895 http://dx.doi.org/10.5946/ce.2012.45.4.431 Text en Copyright © 2012 Korean Society of Gastrointestinal Endoscopy http://creativecommons.org/licenses/by-nc/3.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Chung, Kwang Hyun Ryu, Ji Kon Oh, Hong Sang Seo, Ji Yeon Jin, Eunhyo Lee, Dong Hyeon Kim, Yong-Tae Yoon, Yong Bum Pancreatic Pseudocyst after Endoscopic Ultrasound-Guided Fine Needle Aspiration of Pancreatic Mass |
title | Pancreatic Pseudocyst after Endoscopic Ultrasound-Guided Fine Needle Aspiration of Pancreatic Mass |
title_full | Pancreatic Pseudocyst after Endoscopic Ultrasound-Guided Fine Needle Aspiration of Pancreatic Mass |
title_fullStr | Pancreatic Pseudocyst after Endoscopic Ultrasound-Guided Fine Needle Aspiration of Pancreatic Mass |
title_full_unstemmed | Pancreatic Pseudocyst after Endoscopic Ultrasound-Guided Fine Needle Aspiration of Pancreatic Mass |
title_short | Pancreatic Pseudocyst after Endoscopic Ultrasound-Guided Fine Needle Aspiration of Pancreatic Mass |
title_sort | pancreatic pseudocyst after endoscopic ultrasound-guided fine needle aspiration of pancreatic mass |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3521949/ https://www.ncbi.nlm.nih.gov/pubmed/23251895 http://dx.doi.org/10.5946/ce.2012.45.4.431 |
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