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Year : 2016  |  Volume : 5  |  Issue : 1  |  Page : 55-57

Sudden appearance of free fluid during endoscopic ultrasound-guided fine-needle aspiration

1 Department of Gastroenterology, Colentina Clinical Hospital; Department of Internal Medicine, Carol Davila University of Medicine, Bucharest, Romania
2 Department of Surgery, Colentina Clinical Hospital, Bucharest, Romania
3 Department of Gastroenterology, Colentina Clinical Hospital, Bucharest, Romania

Correspondence Address:
Mihai Rimbas
Department of Internal Medicine, Carol Davila University of Medicine, Bucharest
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2303-9027.175900

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During endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) of a pancreatic malignancy, a small quantity of free fluid, not seen before, suddenly appeared in the view, and time was spent ruling out ongoing hemorrhage. However, during follow-up, the patient gradually developed peritoneal signs and was referred for surgery. The images presented elucidate the diagnosis and raise the question of a theoretical change in diagnostic and therapeutic approach.

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