Endoscopic ultrasound-guided ascites aspiration in the hands of the chest physician using the EBUS endoscope in the oesophagus

Rafi Nessar; Louise L. Toennesen; Uffe Bodtger; Ida Skovgaard Christiansen; Paul Frost Clementsen

Respiratory Medicine Case Reports (Jan 2020)

Endoscopic ultrasound-guided ascites aspiration in the hands of the chest physician using the EBUS endoscope in the oesophagus

Rafi Nessar,
Louise L. Toennesen,
Uffe Bodtger,
Ida Skovgaard Christiansen,
Paul Frost Clementsen

Affiliations

Rafi Nessar: Department of Internal Medicine, Zealand University Hospital, Roskilde, 4000, Roskilde, Denmark
Louise L. Toennesen: Department of Internal Medicine, Zealand University Hospital, Roskilde, 4000, Roskilde, Denmark; Department of Pulmonary Medicine, Bispebjerg University Hospital, 2400, Copenhagen, Denmark
Uffe Bodtger: Department of Internal Medicine, Zealand University Hospital, Roskilde, 4000, Roskilde, Denmark; Department of Respiratory Medicine, Naestved Hospital, 4700, Naestved, Denmark; Institute for Regional Health Research, University of Southern Denmark, 5000, Odense, Denmark
Ida Skovgaard Christiansen: Department of Internal Medicine, Zealand University Hospital, Roskilde, 4000, Roskilde, Denmark; Corresponding author. Department of Internal Medicine, Zealand University Hospital, Roskilde, Sygehusvej 10, 4000, Roskilde, Denmark.
Paul Frost Clementsen: Department of Internal Medicine, Zealand University Hospital, Roskilde, 4000, Roskilde, Denmark; Copenhagen Academy for Medical Education and Simulation (CAMES), Rigshospitalet, 2100, Copenhagen, University of Copenhagen and the Capital Region of Denmark, Denmark; Department of Clinical Medicine, University of Copenhagen, Denmark

Journal volume & issue: Vol. 29

Abstract

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Background: The use of the endobronchial ultrasound (EBUS) scope in the oesophagus, the so-called EUS-B procedure, for the diagnosis and staging of lung cancer is quickly gaining ground. Case presentation: We here present a case demonstrating that EUS-B guided aspiration of intraperitoneal fluid (ascites) is possible. This has never been described before.The procedure was performed with the use of a 22 G needle in a 71 years old woman suspected of lung cancer. No complications were seen. Conclusion: We hereby demonstrate that EUS-B fine needle aspiration from ascites fluid is feasible and appears to be safe. Keywords: Ascites, Endoscopic ultrasound-guided fine needle aspiration, EUS-B-FNA, Interventional pulmonoloy, Lung cancer

Published in Respiratory Medicine Case Reports

ISSN: 2213-0071 (Online)
Publisher: Elsevier
Country of publisher: Netherlands
LCC subjects: Medicine: Internal medicine: Specialties of internal medicine: Diseases of the respiratory system
Website: http://www.journals.elsevier.com/respiratory-medicine-case-reports/

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