title: Sudden appearance of free fluid during endoscopic ultrasound-guided fine-needle aspiration.
abstract: During endoscopic ultrasound-guided fine-needle aspiration (EUS-FNA) of a pancreatic malignancy, a small quantity of free fluid, not seen before, suddenly appeared in the view, and time was spent ruling out ongoing hemorrhage. However, during follow-up, the patient gradually developed peritoneal signs and was referred for surgery. The images presented elucidate the diagnosis and raise the question of a theoretical change in diagnostic and therapeutic approach.
authors.affiliation: Department of Gastroenterology, Colentina Clinical Hospital; Department of Internal Medicine, Carol Davila University of Medicine, Bucharest, Romania.
authors.forename: Mihai
authors.initials: M
authors.lastname: Rimbas
authors.forename: Marian
authors.initials: M
authors.lastname: Deaconu
authors.forename: Alexandru
authors.initials: A
authors.lastname: Croitoru
authors.forename: Andrei
authors.initials: A
authors.lastname: Haidar