Endoscopy 2022; 54(S 01): S210
DOI: 10.1055/s-0042-1745147
Abstracts | ESGE Days 2022
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A TECHNICALLY CHALLENGING EUS-FNA IN SITUS INVERSUS TOTALIS

A. Altonbary
1   Mansoura University, Department of Gastroenterology and Hepatology, Mansoura, Egypt
,
H. Hakim
1   Mansoura University, Department of Gastroenterology and Hepatology, Mansoura, Egypt
,
M. El-Nady
2   Cairo University, Department of Gastroenterology and Hepatology, Cairo, Egypt
,
A. Abou-Elmagd
3   Armed Forces college of medicine, Department of Gastroenterology and Hepatology, Cairo, Egypt
,
W. Elkashef
4   Mansoura University, Department of Pathology, Mansoura, Egypt
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A 46-years man with Situs inversus totalis (SIT) was referred to our facility for EUS-FNA of pancreatic head mass with multiple liver metastasis. Challenging EUS examination of the whole pancreas from the stomach, with anticlockwise rotation 90o & a reversed orientation, showed a hypoechoic pancreatic head mass 3.2x2.7 cm with multiple peri-pancreatic lymph nodes and multiple hepatic focal lesions. EUS-FNA was done from both pancreatic and hepatic masses by fanning technique using a 22G needle. Cytopathological examination revealed moderately differentiated adenocarcinoma with positive IHC for CK7 & CK19 consistent with metastatic tumor of pancreatic origin. Finally, patient started neoadjuvant therapy.



Publication History

Article published online:
14 April 2022

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