Successful use of endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) on a pancreatic lesion in a peritoneal dialysis patient without interrupting treatment

2020 ◽  
Vol 40 (2) ◽  
pp. 230-232 ◽  
Author(s):  
Susie Q Lew ◽  
Ali A Khan ◽  
Brandon Rieders ◽  
Satyanisth T Agrawal
Keyword(s):  
Peritoneal Dialysis ◽  
Endoscopic Ultrasound ◽  
Fine Needle Aspiration ◽  
Dialysis Patient ◽  
Pancreatic Cyst ◽  
Peritoneal Dialysis Patient ◽  
Needle Aspiration ◽  
Ultrasound Guided ◽  
Pancreatic Lesion ◽  
Fine Needle

Endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA), a well-established minimally invasive gastrointestinal procedure, has been used to diagnose and stage cancers of the pancreas. We describe the successful use of EUS-FNA in a peritoneal dialysis (PD) patient to evaluate a pancreatic cyst. The patient continued on PD immediately after the procedure without using hemodialysis. The patient did not experience any complication such as infection, bleeding, or peritoneal fluid leakage.

Haemoperitoneum after an endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) of a pancreatic lesion in a peritoneal dialysis patient

2020 ◽  
Vol 13 (11) ◽  
pp. e236573
Author(s):  
Susie Q Lew ◽  
Ali A Khan ◽  
Brandon Rieders ◽  
Satyanisth T Agrawal
Keyword(s):  
Peritoneal Dialysis ◽  
Endoscopic Ultrasound ◽  
Fine Needle Aspiration ◽  
Treatment Options ◽  
Peritoneal Dialysis Patient ◽  
Needle Aspiration ◽  
Ultrasound Guided ◽  
Pancreatic Lesion ◽  
Fine Needle ◽  
Transplant Evaluation

Haemoperitoneum was observed in a peritoneal dialysis (PD) patient after undergoing endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA). EUS-FNA was performed to evaluate a pancreatic cyst seen on a prekidney transplant evaluation abdominal CT scan. Haemoperitoneum cleared with a PD exchange. In this case report, we discuss aetiologies for bleeding risks in patients with chronic kidney disease and focus on haemoperitoneum in patients receiving PD. We will also explore treatment options to minimise bleeding associated with an abdominal procedure such as EUS-FNA.

scholarly journals Falling under the umbrella cells: A single institutional experience and literature review of urothelial carcinoma presenting as a primary pancreatic mass on endoscopic ultrasound-guided fine-needle aspiration

CytoJournal ◽  
2017 ◽  
Vol 14 ◽  
pp. 6
Author(s):  
Michael Chambers ◽  
Konrad Krall ◽  
Shantel Hébert-Magee
Keyword(s):  
Urothelial Carcinoma ◽  
Endoscopic Ultrasound ◽  
Fine Needle Aspiration ◽  
Needle Aspiration ◽  
Ultrasound Guided ◽  
Pancreatic Lesion ◽  
Fine Needle ◽  
Institutional Experience ◽  
Metastatic Urothelial Carcinoma ◽  
Site Evaluation

Metastases to the pancreas are much less common than primary pancreatic lesions, and there are few reports in the literature of metastatic urothelial carcinoma (UC) found in the pancreas. We report two cases of metastatic UC mimicking a primary pancreatic lesion. Two female patients, aged 48 and 83 years, presented with isolated pancreatic lesions causing obstructive jaundice suspicious for pancreatic adenocarcinoma and underwent endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) with rapid on-site evaluation (ROSE). On cytopathology, the lesions were found to be UC, confirmed with immunohistochemical (IHC) staining. UC rarely metastasizes to the pancreas, and diagnosis through EUS-FNA can be challenging. However, the utilization of ROSE, dedicated cell block passes, and IHC have proved to be effective in obtaining this unusual pancreatic diagnosis by EUS-FNA.

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