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A rare case of transient hepatic portal vein gas after endoscopic ultrasound-guided fine needle aspiration

Kuan-Chih Chen, Yu-Ting Kuo, Hsiu-Po Wang
Digestive Endoscopy: Official Journal of the Japan Gastroenterological Endoscopy Society 2019 March 12
Although endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) has potential risks such as pancreatitis, internal bleeding, and perforation, hepatic portal vein gas (HPVG) has never been reported. Here, we presented a case with HPVG after EUS-FNA. Unlike most HPVG related to bowel ischemia which usually needs surgical intervention with high mortality rate, our case was self-limited after conservative treatment. The 84-year-old man who has chronic hepatitis B related liver cirrhosis with esophageal and gastric varices presented with significant body weight loss for four months. Computed tomography revealed a pancreatic body tumor. Before EUS-FNA for tissue proof, transabdominal ultrasound (TAU) performed sixteen hours earlier showed no HPVG (Figure 1a). This article is protected by copyright. All rights reserved.


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