Abstract
Catheter probe endoscopic sonography is a relatively rapid and safe procedure, carried out during standard endoscopy, capable of distinguishing solid from cystic lesions and vascular from avascular masses. Herein we discuss the role of catheter probe endoscopic sonography in the emergency assessment of a patient with recent and severe bleeding from an ulcerated polyp, arising from the papilla. During the endoscopy, catheter probe endoscopic sonography showed the solid and submucosal nature of the lesion, suggesting its localised and benign nature and, most importantly, demonstrating the high risk of rebleeding from vascular structures communicating with the ulcer. Because of this finding three metallic endoclips were positioned. The lesion was not removed endoscopically because of its difficult position and the high risk of haemorrhage. The mass, removed through a duodenotomy, was shown to be a gangliocytic paraganglioma, an uncommon tumour, frequently resulting in surgery because of abdominal pain and gastrointestinal bleeding.
| Original language | English |
|---|---|
| Pages (from-to) | 134-137 |
| Number of pages | 4 |
| Journal | Digestive and Liver Disease |
| Volume | 38 |
| Issue number | 2 |
| DOIs | |
| Publication status | Published - Feb 2006 |
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Keywords
- Catheter probe endoscopic sonography
- Gangliocytic paraganglioma
- Gastrointestinal bleeding
- Submucosal lesion
ASJC Scopus subject areas
- Gastroenterology
Cite this
Emergency catheter probe endoscopic sonography (CP-EUS) : An effective procedure in the assessment of a bleeding gangliocytic paraganglioma. / Carucci, P.; Leone, N.; Repici, A.; De Paolis, P.; Garabello, D.; Galliano, D.; Curri, F.; Rizzetto, M.; De Angelis, C.
In: Digestive and Liver Disease, Vol. 38, No. 2, 02.2006, p. 134-137.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Emergency catheter probe endoscopic sonography (CP-EUS)
T2 - An effective procedure in the assessment of a bleeding gangliocytic paraganglioma
AU - Carucci, P.
AU - Leone, N.
AU - Repici, A.
AU - De Paolis, P.
AU - Garabello, D.
AU - Galliano, D.
AU - Curri, F.
AU - Rizzetto, M.
AU - De Angelis, C.
PY - 2006/2
Y1 - 2006/2
N2 - Catheter probe endoscopic sonography is a relatively rapid and safe procedure, carried out during standard endoscopy, capable of distinguishing solid from cystic lesions and vascular from avascular masses. Herein we discuss the role of catheter probe endoscopic sonography in the emergency assessment of a patient with recent and severe bleeding from an ulcerated polyp, arising from the papilla. During the endoscopy, catheter probe endoscopic sonography showed the solid and submucosal nature of the lesion, suggesting its localised and benign nature and, most importantly, demonstrating the high risk of rebleeding from vascular structures communicating with the ulcer. Because of this finding three metallic endoclips were positioned. The lesion was not removed endoscopically because of its difficult position and the high risk of haemorrhage. The mass, removed through a duodenotomy, was shown to be a gangliocytic paraganglioma, an uncommon tumour, frequently resulting in surgery because of abdominal pain and gastrointestinal bleeding.
AB - Catheter probe endoscopic sonography is a relatively rapid and safe procedure, carried out during standard endoscopy, capable of distinguishing solid from cystic lesions and vascular from avascular masses. Herein we discuss the role of catheter probe endoscopic sonography in the emergency assessment of a patient with recent and severe bleeding from an ulcerated polyp, arising from the papilla. During the endoscopy, catheter probe endoscopic sonography showed the solid and submucosal nature of the lesion, suggesting its localised and benign nature and, most importantly, demonstrating the high risk of rebleeding from vascular structures communicating with the ulcer. Because of this finding three metallic endoclips were positioned. The lesion was not removed endoscopically because of its difficult position and the high risk of haemorrhage. The mass, removed through a duodenotomy, was shown to be a gangliocytic paraganglioma, an uncommon tumour, frequently resulting in surgery because of abdominal pain and gastrointestinal bleeding.
KW - Catheter probe endoscopic sonography
KW - Gangliocytic paraganglioma
KW - Gastrointestinal bleeding
KW - Submucosal lesion
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UR - http://www.scopus.com/inward/citedby.url?scp=33745377346&partnerID=8YFLogxK
U2 - 10.1016/j.dld.2005.04.031
DO - 10.1016/j.dld.2005.04.031
M3 - Article
C2 - 16389000
AN - SCOPUS:33745377346
VL - 38
SP - 134
EP - 137
JO - Digestive and Liver Disease
JF - Digestive and Liver Disease
SN - 1590-8658
IS - 2
ER -