Endoscopy 2020; 52(S 01): S310
DOI: 10.1055/s-0040-1704996
ESGE Days 2020 ePoster presentations
Thursday, April 23, 2020 09:00 – 17:00 Endoscopic ultrasound ePoster area
© Georg Thieme Verlag KG Stuttgart · New York

NEEDLE TRACT SEEDING (NTS) OF THE STOMACH AFTER EUS-GUIDED-BIOPSY OF A RENAL CANCER METASTASIS OF THE PANCREAS – ARTERIAL BLEEDING AFTER BIOPSY MANAGED BY OTSC

S Freund
1   Universitätsklinikum Augsburg, III. Medizinische Klinik, Augsburg, Germany
,
VF Mouris
1   Universitätsklinikum Augsburg, III. Medizinische Klinik, Augsburg, Germany
,
A Ebigbo
1   Universitätsklinikum Augsburg, III. Medizinische Klinik, Augsburg, Germany
,
C Schöler
2   Universitätsklinikum Augsburg, Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Augsburg, Germany
,
M Anthuber
2   Universitätsklinikum Augsburg, Klinik für Allgemein-, Viszeral- und Transplantationschirurgie, Augsburg, Germany
,
H Messmann
1   Universitätsklinikum Augsburg, III. Medizinische Klinik, Augsburg, Germany
,
S Gölder
1   Universitätsklinikum Augsburg, III. Medizinische Klinik, Augsburg, Germany
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

Also available at
 

A 62-year-old patient underwent left-sided nephrectomy due to a renal cell carcinoma (RCC) in 2011. The postoperative tumor classification was pT1a,pNx,L0,V0,G2,R0.

Six years later, the patient presented with abdominal pain. A CT scan showed pancreatic lesions. EUS-guided transgastral needle biopsy was performed, which showed recurrence of the RCC. Pancreatectomy with splenectomy were performed. Six months later, an egd showed a mucosal lesion of the posterior stomach wall. Subsequent biopsy led to an arterial bleeding. An OTS-Clip was applied to control the bleeding. As the biopsy revealed RCC-metastases, a gastric wedge-resection was performed. The metastasis was considered as NTS of EUS-FNB.