PMC10227376_01
depicts pleural fluid samples collected from all cases (Left) Case 1 from the left hemithorax, (Center) Case 2 from the right hemithorax, (Right) Case 3 from the right hemithorax.
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fig1
Upon readmission to our hospital, a right-sided pigtail chest tube was inserted. 750mL of black pleural effusion was drained (Fig. 1-C).
(Top) Endoscopic ultrasound and endoscopy images identifying a single 15mm x 19mm cyst found in the tail of the pancreas. (Bottom) Cyst gastrostomy with contrast injection confirming placement of the scope within the cavity of the cyst. Images in Fig. 2 show placement of double pigtail stents.
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She underwent an Endoscopic Retrograde Cholangiopancreatography (ERCP) with biliary sphincterotomy followed by an Endoscopic Ultrasound (EUS)-guided cyst gastrostomy on day 3 of admission (Fig. 2).
PMC10227376_02
depicts pleural fluid samples collected from all cases (Left) Case 1 from the left hemithorax, (Center) Case 2 from the right hemithorax, (Right) Case 3 from the right hemithorax.
gr1.jpg
PMC10227376_03_gr1.jpg
fig1
Upon readmission to our hospital, a right-sided pigtail chest tube was inserted. 750mL of black pleural effusion was drained (Fig. 1-C).
(Top left) Axial cut of the patient's thorax demonstrating a larger hydropneumothorax on the right with complete collapse of the right middle and lower lobes. A right-sided pigtail catheter is partially visualized. (Bottom left): Axial cut of the patient's abdomen showing a large abdominal wall hematoma, intra-abdominal fluid, and a small area of free air concerning for perforation. (Right) Angiogram showing extravasation of contrast from the superior epigastric artery. Gel embolization was then performed.
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A CT Angiogram of the chest, abdomen, and pelvis was performed, which revealed a small pocket of free air in the abdomen concerning for perforation, an increase in intra-abdominal fluid as well as a large abdominal wall hematoma (Fig. 3).
PMC10227376_03
depicts pleural fluid samples collected from all cases (Left) Case 1 from the left hemithorax, (Center) Case 2 from the right hemithorax, (Right) Case 3 from the right hemithorax.
gr1.jpg
PMC10227376_03_gr1.jpg
fig1
Upon readmission to our hospital, a right-sided pigtail chest tube was inserted. 750mL of black pleural effusion was drained (Fig. 1-C).
(Top left and right) Axial and sagittal cut of CT chest with contrast showing a rim-enhancing fluid collection in the right lower lobe with a chest tube in the space. There is an adjacent rim-enhancing fluid collection along the medial aspect of the pleura adjacent to and running along the posterior mediastinum and esophagus, which terminates at the level of the diaphragmatic hiatus. This is suspected to be a fistula. (Bottom left) ERCP with cannulation of the pancreatic duct. After contrast injection, extravasation of contrast is seen from the pancreatic tail.
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fig4
A biliary duct stent was confirmed to be in place (Fig. 4).