PMC7132345_01
The yellow arrow shows the cystic neoplasm of the pancreas with air inside.
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fig1
A passage of oral contrast was noted from the greater curvature and pylorus of the stomach into the dilated duct suggestive of fistulae formation (Figure 1).
Endoscopic ultrasound (the yellow arrow shows a mixed echogenic collection in relation to pancreatic head and body).
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fig2
Endosonography (EUS) revealed a mixed echogenic collection in relation to pancreatic head and body (Figure 2), and the EUS-guided fine-needle aspiration cytology (FNAC) showed cells with high-grade atypia.
Postoperative specimen. a: gall bladder; b: distal stomach; c: duodenum; d: pancreas; e: fistulating part from the proximal stomach; f: spleen.
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fig3
The fistula in the proximal stomach was removed with a cuff of posterior gastric wall using a linear stapler (Figure 3).