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Updated: Mar 25, 2026

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Published on: November 10, 2014
Sudden appearance of free fluid during endoscopic ultrasound-guided fine-needle aspiration
Mihai Rimbas1, Marian Deaconu, Alexandru Croitoru
1Department of Gastroenterology, Colentina Clinical Hospital; Department of Internal Medicine, Carol Davila University of Medicine, Bucharest, Romania.
Abstract:
During endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) of a pancreatic malignancy, a small quantity of free fluid, not seen before, suddenly appeared in the view, and time was spent ruling out ongoing hemorrhage. However, during follow-up, the patient gradually developed peritoneal signs and was referred for surgery. The images presented elucidate the diagnosis and raise the question of a theoretical change in diagnostic and therapeutic approach.
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