Single-session endoscopic ultrasound-guided gallbladder drainage and biopsy in pancreatic cancer, obstructive jaundice, and acute cholecystitis: A case report.
Filippo Antonini, Durante Donnarumma, Tiziana Buono, Salomone Di Saverio, Andrea Gardini
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Abstract
Background: An 81-year-old patient presented to our center with pancreatic head cancer, obstructive jaundice, and acute cholecystitis. Due to duodenal tumor infiltration, both endoscopic retrograde cholangiopancreatography and endoscopic ultrasound (EUS)-guided choledochoduodenostomy were technically challenging.
Case summary: An EUS-guided gallbladder drainage along with an EUS-guided fine needle biopsy were performed, resulting in a diagnosis of pancreatic cancer resolution of jaundice and improvement in acute cholecystitis, all in a safe and effective single endoscopic session.
Conclusion: This case demonstrated the successful use of EUS-guided gallbladder drainage and EUS-guided fine needle biopsy in a patient with pancreatic cancer invading the duodenal wall.
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