1. A case of idiopathic retroperitoneal fibrosis (Ormond's disease) diagnosed by transduodenal EUS-guided fine-needle aspiration/biopsy.
- Author
-
Wiedbrauck D, Flemming P, and Hollerbach S
- Subjects
- Humans, Male, Duodenum pathology, Middle Aged, Endoscopic Ultrasound-Guided Fine Needle Aspiration methods, Retroperitoneal Fibrosis complications, Retroperitoneal Fibrosis diagnostic imaging
- Abstract
Competing Interests: Disclosure All authors disclosed no financial relationships. Commentary Retroperitoneal masses pose an interesting diagnostic dilemma. Typically, patients present with pain or nonspecific symptoms, and the lesion is incidentally noted on imaging. Pathologic diagnosis is helpful to guide treatment, but obtaining samples from this difficult region provides a challenge. Options include interventional radiology–guided biopsy, surgical biopsy, and EUS-guided biopsy. The authors demonstrate the utility and success of the EUS-guided biopsy approach for the diagnosis of retroperitoneal lesions. EUS provides the benefit of identifying intervening structures accurately and avoiding injury to other structures during biopsy. EUS also provides easier access to retroperitoneal lesions than do interventional radiology approaches, and it is less invasive than surgical approaches. EUS should strongly be considered as the first-line biopsy approach to retroperitoneal lesions after reviewing the imaging and ensuring that the lesion is within close proximity to the GI tract. Avik Sarkar, MD Advanced Endoscopist, Hackensack University Medical Center, Hackensack, New Jersey, USA Amy Tyberg, MD, FASGE, FACG, Associate Editor for Focal Points
- Published
- 2024
- Full Text
- View/download PDF