Mitchell Sager*, George Felemegos, Nina Rackerby and Ala Shuker
In modern medicine, imaging and intervention have become so advanced it is tempting to give it little thought before use. Yet, providers still carry the responsibility of knowing when and if to intervene with novel, invasive techniques. We present a 73-year-old male with type 2 diabetes, coronary artery disease, rheumatoid arthritis, and bladder carcinoma who underwent EUS-FNA for a 15 × 14 mm hypoechoic, heterogeneous pancreatic mass. Post-procedure, he developed acute interstitial edematous pancreatitis, progressing to fulminant pancreatitis complicated by acute respiratory distress syndrome, cholecystitis, and gallbladder empyema. This case highlights the elevated risk of complications in elderly patients with comorbidities undergoing EUS-FNA of cystic lesions, emphasizing the need for robust risk stratification and vigilant post-procedure monitoring.
Received Date: 2025-07-14
