ASGE Postgraduate Course at ACG 2022: Expanding the Scope of Fundamental and Advanced Endoscopy (On-Demand)

Bang-Case_Session 3

Pdf Summary

Case 1:<br />A 54-year-old female presented with abdominal pain and a CT scan revealed a pancreatic fluid collection. She had no history of pancreatitis and did not smoke or consume alcohol.<br /><br />Case 2:<br />A 49-year-old male was admitted with severe abdominal pain and weight loss. He had no history of acute pancreatitis, did not smoke or consume alcohol, but had multiple medical comorbidities including end-stage renal disease and renal cell carcinoma. He had a 20 cm-sized pancreatic cystic lesion and underwent EUS-guided cystogastrostomy using LAMS (lumen-apposing metal stents) at an outside facility in April 2022. He also had an endoscopic necrosectomy and three plastic double pigtail stents were placed into the cystogastrostomy tract. However, the fluid collection only had minimal decrease in size and remained symptomatic according to a CT scan of the abdomen/pelvis.<br /><br />EUS:<br />A complex pancreatic cystic lesion was identified and a fine needle aspiration (FNA) was performed. The fluid obtained was viscous and showed mucinous epithelium.<br /><br />Case 3: No information provided.<br /><br />Case 4: A 68-year-old male was diagnosed with acute necrotizing pancreatitis due to gallstones. He was admitted after experiencing a syncopal episode and presented with fever, tachycardia, hypotension, and leukocytosis with a white blood cell count of 19.2. No further information is provided about this case.

Keywords

abdominal pain

pancreatic fluid collection

pancreatitis

smoking

alcohol consumption

severe abdominal pain

weight loss

pancreatic cystic lesion

EUS-guided cystogastrostomy

acute necrotizing pancreatitis