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 Andrew J. Bain, MD, University of California San Diego
Suresh Pola, MD, University of California San Diego, Veterans Affairs San Diego Medical Center
Thomas Savides, MD, University of California San Diego
A 54 year old female underwent upper endoscopy at an outside facility for evaluation of dyspepsia showing a subepithelial gastric mass. Mucosal biopsies were non-diagnostic. The patient was referred to our center for endoscopic ultrasound and further tissue sampling. Upper endoscopy showed a 1 cm subepithelial mass in the gastric antrum locate [...]
 Prashant Kedia, MD, Mount Sinai Medical Center
Ron Lee, MD, Mount Sinai Medical Center
Kalpesh Patel, MD, Mount Sinai Medical Center
Michelle Kim, MD, Mount Sinai Medical Center
A 41 year old surgeon presented with several months of epigastric pain. A CT scan was performed which revealed multiple masses in the liver, the largest of which measured approximately 7.4 cm in diameter. Some of these lesions demonstrated high peripheral density suggestive of calcification; no obvious pancreatic mass was noted. A CT guided biop [...]
 Patrick Yachimski, MD, Vanderbilt University Medical Center
The patient is an 84 year old male who had previously been diagnosed with a main duct IPMN involving the pancreatic head. The patient had opted for expectant management in lieu of surgical resection, and had been relatively asymptomatic for 2 years, until presenting with jaundice, cholangitis, and gram negative sepsis. An abdominal CT demonst [...]
 Charles Chaya, MD, Kaiser Permanente Riverside Medical Center
Albert Ko, MD, Kaiser Permanente Riverside Medical Center
Mark Taira, MD, Kaiser Permanente Riverside Medical Center
Jane Tongson-Ignacio, MD, Southern California Permanente Medical Group Regional Laboratory
Brian S. Lim, MD, Kaiser Permanente Riverside Medical Center
60 year old female presented with episodes of hypoglycemia with glucose in the range of 55 to 63. Her symptoms included night sweats and confusion during the day time for which patient would eat peanut butter with improvement. Symptoms were worse with exercise. Patient was found to have high insulin level of 20 (normal 3 – 11 mU/L). C-peptide [...]
 Dr. Quan Wai Leong, Tan Tock Seng Hospital, Singapore
Endoscopic ampullectomy has been considered a high risk procedure associated with a higher complication rate of bleeding, perforation and pancreatitis compared to conventional ERCP. Much effort has been spent on using different technique, equipment and different power settings of the electrosurgical unit in an attempt to minimize complications. T [...]
 Gottumukkala S. Raju, MD, MD Anderson Cancer Center
Sathya Jaganmohan, MD, University of Texas Medical Branch
Jeffrey H. Lee, MD, MD Anderson Cancer Center
In this EUS Learning Series, the next step is Linitis Plastica. A 55 year old man is referred for evaluation of gastric cancer diagnosed at an outside facility. He had undergone EGD, EUS and probe sonography; a diagnosis of Linitis Plastica was made. We would like to show stomach anatomy in health and in Linitis Plastica to appreciate the features. [...]
 David Arner, MD, University of Virginia
Bryan Sauer, MD, University of Virginia
Vanessa Shami, MD, University of Virginia
A 41 year-old female presented to her primary care physician with back pain. Abdominal CT revealed a heterogeneous cystic mass in the body of the pancreas measuring 5.8 x 5.3 x 4.9 cm. Further evaluation with endoscopic ultrasound (EUS) revealed a 5cm multiseptated grossly solid cystic lesion consistent with a pseudopapillary neoplasm. After color [...]
 Jonathan Buscaglia, MD, Stony Brook University Medical Center
Vijay Jayaraman, MD, Stony Brook University Medical Center
Mark Wilkinson, MD, Stony Brook University Medical Center
We present the case of a 66 y o gentleman who had chronic pancreatitis and abdominal pain who underwent a pancreatic head resection and a Peustow procedure. The post-operative course was complicated by the development of an intra-abdominal hematoma. The hematoma is shown by the arrow here on the CT scan. An angiogram demonstrated an aneurysm of th [...]
 Truptesh H. Kothari, MD, Lenox Hill Hospital
Deepak Vadada, MD, Lenox Hill Hospital
David H. Robbins, MD, Lenox Hill Hospital
A 23 year old female with a history of hepatitis B was referred for evaluation of a pancreatic mass on ultrasound of the abdomen. The patient denied abdominal pain, nausea, vomiting, weight loss or yellowish discoloration of the skin. Abdominal CT with IV and PO contrast was suggestive of a 2 cm mass, seen in the anterior pancreatic body as ind [...]
 David Arner, MD, University of Virginia
Jennifer Maranki, MD, University of Virginia
Bryan Sauer, MD, University of Virginia
Vanessa Shami, MD, University of Virginia
A 64 year-old female was evaluated by a local dermatologist for a new onset plaque-like erythematous rash on her lower extremities that extended to her buttocks and back. She tried various topical treatments with no improvement and subsequently underwent punch biopsy of the rash which showed a dermatitis pattern strongly suggestive of a nutritional [...]
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