EUS-guided drainage of localized malignant ascites with Pancreatic cancer: A case report

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.