PMC4288835_01
Figure 1: MRI showing a large cystic collection of fluid in front of body and tail of pancreas, pushing the stomach anteriorly.
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F1
Pre-procedure magnetic resonance cholangio-pancreatography (MRCP) showed a well-encapsulated but thin-walled cystic lesion in front of the body and tail of pancreas, immediately behind the stomach, with gross forward displacement of the stomach (Fig.1).
Figure 2: Showing endoscopic insertion of needle (arrow) in to the pseudocyst to aspirate the fluid and subsequently insert guide wire.
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F2
For endoscopic ultrasound guided drainage, an Olympus linear echoendoscope was introduced via the mouth, under general anaesthesia and advanced to the stomach, from where the cyst was identified (Fig.2). Using a 19G needle (Fig.2), the cyst was punctured and a cystotome was then used to enlarge the track, over a guide-wire.