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Updated: Aug 7, 2026
Laparoscopic Pancreatoduodenectomy With Modified Blumgart Pancreaticojejunostomy
Published on: June 17, 2018
Beyond LAMS: Innovative EUS-Guided Needle Drainage With Wall-Apposed Suction Strategy for a Giant Perisplenic
Yeshika Thapa1, Carson Cornell Creamer1, Toufic Dabit1
1University of Central Florida College of Medicine, Graduate Medical Education/HCA Florida North Florida Hospital, Gainesville, FL.
Abstract:
Splenic complications occur in approximately 2% of patients with chronic pancreatitis. Standard endoscopic ultrasound (EUS)-guided transmural drainage requires a Doppler-free window and may be unsafe when collaterals traverse the intended tract. We report a 42-year-old woman with alcoholic chronic pancreatitis and splenic vein thrombosis presented with a perisplenic pseudocyst that enlarged from 10.8 to 18.9 cm over 1 month. EUS confirmed intervening vasculature precluding stent placement; a narrow Doppler-free path permitted 19-gauge needle access. Continuous aspiration through a 3-way stopcock system evacuated approximately 1,000 mL with marked decompression. This case highlights EUS-guided needle decompression when vasculature constrains conventional drainage.
