ArticleACG case reports journal2026
Beyond LAMS: Innovative EUS-Guided Needle Drainage With Wall-Apposed Suction Strategy for a Giant Perisplenic Pancreatic Pseudocyst.
Article in ACG case reports journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Authors and funding
6 authors.
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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.
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