|
KMID : 0359020120450040431
|
|
Korean Journal of Gastrointestinal Endoscopy
2012 Volume.45 No. 4 p.431 ~ p.434
|
|
|
Pancreatic Pseudocyst after Endoscopic Ultrasound-Guided Fine Needle Aspiration of Pancreatic Mass
|
|
Jung Kwang-Hyun
Ryu Ji-Kon
Oh Hong-Sang
Seo Ji-Yeon
Jin Eun-Hyo
Lee Dong-Hyeon
Kim Yong-Tae
Yoon Yong-Bum
|
|
|
Abstract
|
|
|
|
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.
|
|
|
KEYWORD
|
|
|
Pancreatic pseudocyst, Endosonography, Fine-needle biopsy, Complications
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
  
|