980 endoscopic ultrasound guided drainage of a vascular configuration: when caught between a rock and a hard place

A 36-year-old man with a past medical history significant for antiphospholipid syndrome complicated by a cerebrovascular event requiring indefinite coumadin anticoagulation, presented for epigastric pain and vomiting of a few days duration. His blood work was unremarkable except for an elevated lipase (150) without meeting the acute pancreatitis criteria. An ultrasound of the abdomen was negative for cholelithiasis and unremarkable bile ducts. However, a CT showed edema around the portal confluence.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: Oral abstracts Source Type: research