Pancreatic Pseudocyst after Endoscopic Ultrasound-Guided Fine Needle Aspiration of Pancreatic Mass.
- Author:
Kwang Hyun CHUNG
1
;
Ji Kon RYU
;
Hong Sang OH
;
Ji Yeon SEO
;
Eunhyo JIN
;
Dong Hyeon LEE
;
Yong Tae KIM
;
Yong Bum YOON
Author Information
1. Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea. jkryu@snu.ac.kr
- Publication Type:Case Report
- Keywords:
Pancreatic pseudocyst;
Endosonography;
Fine-needle biopsy;
Complications
- MeSH:
Abdominal Pain;
Amylases;
Biopsy, Fine-Needle;
C-Reactive Protein;
Cyst Fluid;
Drainage;
Emergencies;
Endoscopic Ultrasound-Guided Fine Needle Aspiration;
Endosonography;
Humans;
Leukocytosis;
Lipase;
Male;
Middle Aged;
Neuroendocrine Tumors;
Pancreatic Ducts;
Pancreatic Pseudocyst;
Streptococcus
- From:Clinical Endoscopy
2012;45(4):431-434
- CountryRepublic of Korea
- Language:English
-
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 11.5x9.5 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.
