Endoscopic Ultrasound Atlas

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Linear endoscopic ultrasound (longitudinal endosonography) allows the
visualization of accessories in the ultrasonic field, thus permitting
the real-time control of EUS-guided fine needle aspiration (EUS-FNA) biopsy and other interventional procedures. Recent EUS-directed or EUS-assisted techniques are continuously expanding the spectrum of EUS applications. Most of the interventional procedures are further shown in the linear EUS atlas.

The EUS examinations were performed in the Gastroenterology Department of the University of Medicine and Pharmacy Craiova, ROMANIA, using a high resolution digital linear endoscopic ultrasound system, as well as DVD recording and archiving of cases.

New EUS cases are added, courtesy of Prof. Dr. Peter Vilmann, Chief of Gastrointestinal Endoscopy Laboratory, Department of Gastrointestinal Surgery, Gentofte University Hospital and University of Copenhagen, DENMARK.

longitudinal endosonography
June 20, 2021 Now including 222 cases You are visitor # 437475 Online users : 2

Neuroendocrine tumor Feb 26, 2009
Hypervascular tumor mass of the pancreatic tail visualized before and after contrast-enhancement (Sonovue 2.4 mL). The mass had predominant arterial signals inside, with a high pulsatility index. The diagnosis was confirmed by EUS-guided FNA with immunohistochemistry of the cell blocks.
  More images / movies: Click to open it in new window (MOVIE) Click to open it in new window (IMAGE)
Contrast EUS > Pancreatic tumors > Malignant tumors

Pancreatic metastasis of malignant ocular melanoma Feb 26, 2009
A 43-years-old woman, diagnosed 4 years ago with a malignant ocular melanoma, removed by surgery and further treated by combined chemo-radiotherapy. Transabdominal ultrasound and contrast-enhanced CT showed a 20 mm tumor in the neck of the pancreas. EUS showed peripheral signals in power Doppler mode (Fig. 1). EUS-FNA with immunocytochemistry showed an intense cytoplasmatic and nuclear immunostaining for S100 and an intense cytoplasmatic immunostaining for HMB45 (Fig. 2).
  More images / movies: Click to open it in new window (MOVIE) Click to open it in new window (IMAGE) Click to open it in new window (IMAGE) Click to open it in new window (IMAGE)
Pancreatic diseases > Pancreatic tumors > Metastatic tumors

EUS-assisted rendez-vous stenting in chronic pancreatitis with multiple pseudocysts Feb 26, 2009
A 60-years-old male patient with chronic calcifying pancreatitis, with severe ductal obstruction and multiple communicating pancreatic pseudocysts. Two ERCPs failed to access the dilated pancreatic duct. EUS-assisted rendez-vous procedure started with the EUS-guided transgastric placement of a 19G needle. After a guidewire was passed out of the papilla, the EUS-scope was exchanged for a duodenoscope, the wire grabbed and a pancreatic stent was inserted. Subsequent sphincterotomy and bile duct stenting was obtained.
  More images / movies: Click to open it in new window (IMAGE) Click to open it in new window (IMAGE) Click to open it in new window (IMAGE)
Interventional EUS > EUS-assisted rendez-vous > Pancreatic stenting


Dr. Adrian Saftoiu Gastroenterology Department Site concept, Case histories, Web layout
Dr. Adrian Saftoiu, Dr. Sergiu Cazacu Gastroenterology Department EUS examinations (images and movies)
Dr. Peter Vilmann Gentofte University Hospital and
University of Copenhagen
EUS examinations (images and movies)
Prof. Dr. Adrian Saftoiu, Prof. Dr. Tudorel Ciurea,
Prof. Dr. Ion Rogoveanu
Gastroenterology Department Transabdominal ultrasound
Dr. Daniela Dumitrescu, Dr. Mihai Popescu Radiology Department CT, MRCP examinations
Dr. Adrian Saftoiu Gastroenterology Department ERCP examinations
Dr. Aristida Georgescu, Dr. Ernestina Andrei Radiology Department Radiology support for ERCP examinations
Dr. Carmen Popescu Cytology Laboratory Cytological diagnosis and EUS-FNA analysis
Dr. Claudia Valentina Georgescu Pathology Department Pathological diagnosis
Dr. Sevastita Iordache, Dr. Dan-Ionuţ
Gheonea, Drd. Maria-Monalisa Filip
Gastroenterology Department Case histories
Dr. Anca Maloş EUS examinations (anesthesiology)
Drd. Ana-Maria Ioncică Case histories
Daniela Burtea, Monica Molete, Mihaela Caliţa Endoscopy nursing
Eng. Gabriel Popescu, Eng. Cristina Cerbulescu Webmasters
Eng. Alex Iordache Site development

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Site last updated: Oct 10, 2011
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