PMC6364124_01
Patient 1, CT abdomen showing perigastric abscess.
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CA 19-9 of 81.4 (normal <37 U/ml). Computed tomography scan (CT) of abdomen showed a perigastric abscess adjacent to the fundus (Figure 1).
Patient 1, EUS confirming perigastric abscess in fundal area.
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Endoscopic ultrasound (EUS) was suggestive of 35 mm anechoic, heterogeneous, well-circumscribed fluid collection in the immediate perigastric area surrounding the fundus (Figure 2).
Patient 1, CT scan abdomen showing resolution of perigastric abscess.
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Repeat CT abdomen after one week of stent placement showed a near-complete resolution of the abscess (Figure 3), although he had developed ascites by this time, likely due to presence of severe hypoalbuminemia.
PMC6364124_02
Patient 2, CT scan abdomen showing fluid collection around the tail of pancreas.
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CT scan showed interval increase in the size of the rim enhancing fluid collection around tail of pancreas 1 month after drain removal (Figure 4).
Patient 2, EUS confirming peripancreatic fluid collection around tail of pancreas.
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Subsequently, EUS showed a well demarcated, hypoechoic, heterogeneous collection, adjacent to the tail of the pancreas about 6.5 cm in the largest dimension (Figure 5).
Patient 2, CT scan showing resolution of peripancreatic fluid collection.
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CT scan of abdomen after 1 month showed decrease in the size of the previously demonstrated LUQ rim-enhancing fluid collection (Figure 6).
PMC6364124_03