Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
8825422 | Radiology Case Reports | 2017 | 4 Pages |
Abstract
Percutaneous image-guided biopsies of pancreatic malignancies may prove challenging and nondiagnostic due to a variety of anatomic considerations. For patients with complex post-surgical anatomy, such as a Roux-en-Y gastric bypass, diagnosis via endoscopic ultrasound with fine-needle aspiration may not be possible because of an inability to reach the proximal duodenum. This report describes the first diagnostic case of transbiliary intravascular ultrasound-guided biopsy of a pancreatic head mass in a patient with prior Roux-en-Y gastric bypass for which a diagnosis could not be achieved via percutaneous and endoscopic approaches. Transbiliary intravascular ultrasound-guided biopsy resulted in a diagnosis of pancreatic adenocarcinoma, allowing the initiation of chemotherapy.
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Authors
Jeffrey Forris Beecham MD, MPH, DABR, Benjamin B. BS, Minhaj S. MD, MBA, Dennis DO, Kyle J. MD, Wael E. MBBCh, FSIR, Ravi N. MD,