case_images: PMC6556244_01
case_images: (a) Coronal section from initial CT showing large fluid collection (gray arrow) adjacent to the tail of the pancreas. (b) Axial section from initial CT showing anterior and posterior aspects of large fluid collection (gray arrows) surrounding the stomach and adjacent to the tail of the pancreas. (c) Axial section from initial CT showing mildly dilated pancreatic duct (gray arrow). (d) Still frame from EUS showing FNA needle within the visualized pancreatic mass (gray arrow).
case_images: CRIS2019-6381249.001.jpg
case_images: PMC6556244_01_CRIS2019-6381249.001.jpg
case_images: fig1
case_images: Initial CT demonstrated abdominal fluid collections around the stomach and pancreatic tail, extending to segment two of the liver (Figures 1(a)-1(c)). EUS was performed to evaluate for abnormalities that may have precipitated the initial pancreatic leak. EUS revealed an ill-defined 17 mm x 10 mm mass in the body of the pancreas:an EUS-guided shark core aspiration of the mass was positive for adenocarcinoma (Figure 1(d)).