Volume 4, Issue 1, Pages (January 2019)

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Volume 4, Issue 1, Pages 24-26 (January 2019) Is it tumor encasement or arterial dissection/thrombosis? EUS to the rescue! Irina M. Cazacu, MD, Ben S. Singh, BA, Ching-Wei D. Tzeng, MD, Eric P. Tamm, MD, Manoop S. Bhutani, MD, FASGE VideoGIE Volume 4, Issue 1, Pages 24-26 (January 2019) DOI: 10.1016/j.vgie.2018.10.007 Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 1 Emergency CT view showing hazy infiltration of the fat around the celiac axis and common hepatic artery with mild luminal narrowing of the common hepatic artery (white arrow). VideoGIE 2019 4, 24-26DOI: (10.1016/j.vgie.2018.10.007) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 2 EUS view showing a cystic/solid mass in the uncinate process of the pancreas. There are multiple solid nodules and papillary projections within this cystic mass. VideoGIE 2019 4, 24-26DOI: (10.1016/j.vgie.2018.10.007) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 3 EUS view showing a thrombus inside celiac axis/proximal common hepatic artery. VideoGIE 2019 4, 24-26DOI: (10.1016/j.vgie.2018.10.007) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 4 Angio-CT view at our institution showing extensive soft tissue thickening that extended along the celiac trunk, associated with encasement and narrowing of the common hepatic artery. VideoGIE 2019 4, 24-26DOI: (10.1016/j.vgie.2018.10.007) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 5 Angio-CT view at our institution showing aneurysmal dilatation of the celiac trunk with possible focal dissection. VideoGIE 2019 4, 24-26DOI: (10.1016/j.vgie.2018.10.007) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 6 CT view at 2-month follow-up visit showing marked improvement of previously seen soft-tissue thickening along the celiac axis. VideoGIE 2019 4, 24-26DOI: (10.1016/j.vgie.2018.10.007) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions

Figure 7 CT view at 2-month follow-up visit showing persisting aneurysmal dilatation of the celiac trunk, with findings suggestive of focal dissection. VideoGIE 2019 4, 24-26DOI: (10.1016/j.vgie.2018.10.007) Copyright © 2018 American Society for Gastrointestinal Endoscopy Terms and Conditions