Endoscopy 2022; 54(S 01): S219
DOI: 10.1055/s-0042-1745179
Abstracts | ESGE Days 2022
ESGE Days 2022 Digital poster exhibition

EUS-GUIDED FIDUCIAL MARKERS IMPLANTATION FOR PRECISE LOCALIZATION OF PANCREATIC NET

S. Deiana
1   Azienda USL Modena, Gastroenterology and Digestive Endoscopy Unit, Carpi, Italy
,
T. Gabbani
1   Azienda USL Modena, Gastroenterology and Digestive Endoscopy Unit, Carpi, Italy
,
G. Impellizzeri
1   Azienda USL Modena, Gastroenterology and Digestive Endoscopy Unit, Carpi, Italy
,
L. Ottaviani
1   Azienda USL Modena, Gastroenterology and Digestive Endoscopy Unit, Carpi, Italy
,
J. Rainer
1   Azienda USL Modena, Gastroenterology and Digestive Endoscopy Unit, Carpi, Italy
,
A. Curatolo
1   Azienda USL Modena, Gastroenterology and Digestive Endoscopy Unit, Carpi, Italy
,
G.F. Bonura
1   Azienda USL Modena, Gastroenterology and Digestive Endoscopy Unit, Carpi, Italy
,
P. Biancheri
1   Azienda USL Modena, Gastroenterology and Digestive Endoscopy Unit, Carpi, Italy
,
P. Soriani
1   Azienda USL Modena, Gastroenterology and Digestive Endoscopy Unit, Carpi, Italy
,
M. Manno
1   Azienda USL Modena, Gastroenterology and Digestive Endoscopy Unit, Carpi, Italy
› Author Affiliations
 

A 73-year-old man was referred with weight loss and newly diagnosed diabetes. Abdominal CT and MRI scans showed non-specific enlarged pancreatic body without focal lesions. Conversely, EUS revealed a 21×17mm irregular, well-defined lesion within the pancreatic body, with hypoechoic capsule and intense enhancement after contrast medium injection, suspicious for a NET, in a context of chronic pancreatitis. FNB and histological examination confirmed the diagnosis of NET. To facilitate NET localization during surgery, we performed EUS-guided fiducial marker implantation. Fiducial marker visualization on intraoperative ultrasound scan aided the precise localization of the pancreatic NET, and successful distal splenopancreasectomy was performed.



Publication History

Article published online:
14 April 2022

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