WEO Video: Dr. William R. Brugge
Dr. William R. Brugge performs EUS and FNA of a complex pancreatic cystic neuroendocrine tumor
This is a 52 year old male who presents with LUQ pain after falling from a tree. An abdominal CT scan demonstrated a complex cystic lesion in the tail of the pancreas. Laboratory testing was unremarkable. The EUS exam demonstrated two pancreatic cystic lesions adjacent to a dilated splenic artery. During the EUS exam, there was concern that the cystic lesion involved the splenic artery and raised the possibility of a pseudoaneurysm. Fine needle aspiration revealed blood in one of the cysts. Aspiration from the other cyst revealed cells suggestive of a cystic neuroendocrine tumour. Eventually, a resection was performed and the histology was consistent with benign cystic neuro-endocrine tumour.
This procedure was performed at the Digestive Health Care Center at Massachusetts General Hospital in Boston, USA by Dr. William R. Brugge from the United States.
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