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

doi:10.1016/j.rmcr.2020.100998

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

Respir Med Case Rep. 2020 Jan 7:29:100998. doi: 10.1016/j.rmcr.2020.100998. eCollection 2020.

Authors

Rafi Nessar¹, Louise L Toennesen^{1

2}, Uffe Bodtger^{1

3

4}, Ida Skovgaard Christiansen¹, Paul Frost Clementsen^{1

5

6}

Affiliations

¹ Department of Internal Medicine, Zealand University Hospital, Roskilde, 4000, Roskilde, Denmark.
² Department of Pulmonary Medicine, Bispebjerg University Hospital, 2400, Copenhagen, Denmark.
³ Department of Respiratory Medicine, Naestved Hospital, 4700, Naestved, Denmark.
⁴ Institute for Regional Health Research, University of Southern Denmark, 5000, Odense, Denmark.
⁵ Copenhagen Academy for Medical Education and Simulation (CAMES), Rigshospitalet, 2100, Copenhagen, University of Copenhagen and the Capital Region of Denmark, Denmark.
⁶ Department of Clinical Medicine, University of Copenhagen, Denmark.

Abstract

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; EUS-B-FNA; Endoscopic ultrasound-guided fine needle aspiration; Interventional pulmonoloy; Lung cancer.

Publication types

Case Reports