A 67-year-old male with pancreatic cancer with hepatic metastasis and peritoneal dissemination had been treated with chemotherapy and had regular percutaneous ascites drainage about every two weeks. He developed anorexia and a new localized ascites was created in front of the pancreas, which compressed the stomach. We suspected pancreatic fistula, and EUS-guided placement of plastic pigtail stents for the drainage was performed. After the treatment, the symptom was improved immediately. Ascites did not recur until tumor death.
There are few reports of EUS-guided drainage for localized malignant ascites and no cases from pancreatic cancer. EUS-guided drainage is a safe and highly curative treatment, and is a useful treatment for symptomatic patients with localized malignant ascites.
