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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2016; 07(04): 158-159
DOI: 10.4103/0976-5042.195769
Case Report
Journal of Digestive Endoscopy

Endoscopic ultrasound-guided fine-needle aspiration of an aortocaval lymph node by the transcaval approach

Narendra S. Choudhary
Institute of Digestive and Hepatobiliary Sciences, The Medicity, Gurgaon, Haryana, India
,
Rinkesh K. Bansal
Institute of Digestive and Hepatobiliary Sciences, The Medicity, Gurgaon, Haryana, India
,
Rajesh Puri
Institute of Digestive and Hepatobiliary Sciences, The Medicity, Gurgaon, Haryana, India
,
Mridula Guleria
1   Department of Cytopathology, Medanta, The Medicity, Gurgaon, Haryana, India
,
Randhir Sud
Institute of Digestive and Hepatobiliary Sciences, The Medicity, Gurgaon, Haryana, India
› Author Affiliations
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Publication History

Publication Date:
26 September 2019 (online)

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Abstract

A 59-year-old male was diagnosed as carcinoma gallbladder around 1 year back and underwent radical cholecystectomy. He also received four cycles of chemotherapy. Now, he complained upper abdominal heaviness; positron emission tomography-computed tomography (PET-CT) was done which showed PET-avid 8.5 mm sized lymph node at aortocaval region. There was no safe route, so endoscopic ultrasound (EUS)-guided fine-needle aspiration (FNA) was advised. However, FNA was not possible without crossing inferior vena cava and further management depended on FNA report. The EUS-FNA was done, and cytopathological smears were consistent with metastatic adenocarcinoma. There was no complication.

Key words

Carcinoma gallbladder - chemotherapy - inferior vena cava - transvenous fine-needle aspiration
 

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