A young lady presented to the emergency department with pain in the abdomen for 1 day. She had a history of similar pain in the past. Her clinical examination was unremarkable, except for mild abdominal tenderness. Further investigations suggested diagnoses of acute pancreatitis and a duodenal cyst. Magnetic resonance cholangiopancreatography (MRCP) revealed a cystic lesion in the duodenum in c...

Pancreatic cystic lesions (PCLs) are detected in over 2% of patients who undergo computed tomography (CT) and magnetic resonance imaging screening [1,2]. Most PCLs are harmless, but some have the potential for malignant transformation. The management of PCLs is challenging, with high resource use. The standard option for the acquisition of cellular material from PCLs is endoscopic ultrasound (E...

CONTEXT EUS-guided transmural drainage of pancreatic pseudocyst has been reported using a linear array echoendoscope; however, placement of large 10 French stent was not feasible because of the limited diameter of the working channel. Recently linear array echoendoscopes with large working channel (3.7 to 3.8 mm) and newer accessories for pancreatic cyst puncture have become available; however,...

A 52-year-old patient with chronic pancreatitis was admitted for drainage of two symptomatic pancreatic pseudocysts. Endoscopic ultrasonography (EUS) showed pseudocysts in the pancreatic body and head of 50×40mm and 30×20mm in size, respectively. We first performed transgastric drainage of the pancreatic body pseudocyst, using a lumen-apposing stent. In the same session, we approached the pancr...

BACKGROUND AND AIMS Pancreatic cysts are becoming more common. Their differential diagnosis includes benign, premalignant, and malignant lesions. Distinguishing the type of cyst helps in the management decision making. We report on a novel tissue acquisition device for pancreatic cysts. METHODS Data on two patients who underwent endoscopic ultrasound (EUS) - guided fine-needle aspiration with...

Spleen-preservation has recently been emphasized in benign and borderline malignant pancreatic diseases requiring distal pancreatectomy. Reports to suggest that laparoscopic distal pancreatectomy is feasible and safe have been increasingly published. Robotic surgical system has been introduced and is expected to provide unique advantages in laparoscopic surgery. However, robot-assisted pancreat...

Introduction: Typically found in young women, solid pseudopapillary tumors of the pancreas (SPTP) are part of the differential diagnosis for solid and cystic neoplasms of the pancreas. SPTP may cause diagnostic confusion when presenting with massive cystic degeneration. Case Report: A 59 year-old woman undergoing surveillance PET-CT was found to have a 9 cm, calcified, complex cyst arising in t...