scholarly journals Sarcina ventriculi in an Endoscopic Ultrasound-Guided Fine Needle Aspiration of a Perigastric Lymph Node with Metastatic Pancreatic Adenocarcinoma: A Carry-Through Contaminant Bacterial Microorganism from the Stomach

2021 ◽  
Vol 2021 ◽  
pp. 1-5
Author(s):  
Bharat Nandakumar ◽  
Diva R. Salomao ◽  
Nicholas A. Boire ◽  
Audrey N. Schuetz ◽  
Charles D. Sturgis

Sarcina ventriculi is a rare gram-positive coccus increasingly reported in patients with a history of delayed gastric emptying or gastric outlet obstruction and is sometimes seen in association with emphysematous gastritis and perforation. We report a case of a 67-year-old male who presented with epigastric pain. CT imaging and cholangiopancreatography were concerning for pancreatic neoplasia. Upper endoscopic ultrasound-guided fine needle aspiration cytology of a perigastric lymph node confirmed metastatic adenocarcinoma of pancreatic origin, and cocci arranged in a tetrad fashions characteristic of Sarcina ventriculi were noted. To our knowledge, this is the first reported case of Sarcina ventriculi in an FNA of metastatic pancreatic carcinoma in a perigastric lymph node. These organisms likely represent carry-through contaminants from the transgastric approach of the endoscopic FNA.

1998 ◽  
Vol 93 (5) ◽  
pp. 834-836 ◽  
Author(s):  
James D. Lewis ◽  
Douglas O. Faigel ◽  
Yvonne Dowdy ◽  
Martha J. Sack ◽  
Kevin E. Salhany ◽  
...  

CytoJournal ◽  
2012 ◽  
Vol 9 ◽  
pp. 24 ◽  
Author(s):  
Di Xia ◽  
Kidada N Gilbert-Lewis ◽  
Manoop S Bhutani ◽  
Ranjana S Nawgiri

Endoscopic ultrasound guided fine-needle aspiration (EUS-FNA) is now widely used as a primary tool in the evaluation of lymphadenopathy in both the mediastinum and abdomen. A sympathetic ganglion may be mistaken for an enlarged lymph node on endoscopic ultrasound and are rarely sampled as such. A 51-year-old female presented with a history of weight loss, vomiting for several months, and right upper quadrant discomfort. Computed tomography (CT) and magnetic resonance imaging (MRI) scans showed a dilated common bile duct (CBD) with a possible periampullary mass, paraaortic, and pericelial lymph nodes suspicious for metastatic disease. Endosonography revealed a 17 mm oval hypoechoic structure with distinct margins in the para-aortic, celiac axis region suggestive of an enlarged lymph node. An EUS-FNA was done. Cytology revealed ganglion cells with large oval epithelial-like cells with round nuclei and prominent nucleoli consistent with a benign sympathetic ganglion. It is crucial for the cytopathologist to be aware of the fact that the endoscopist might have sampled a celiac ganglion instead of a celiac lymph node and be able to distinguish the cytological features of a benign sympathetic ganglion from a malignant process.


2009 ◽  
Vol 23 (7) ◽  
pp. 479-480 ◽  
Author(s):  
Tan Attila ◽  
Reva Ricketts-Loriaux ◽  
David A Sauer ◽  
Douglas O Faigel

Endoscopic ultrasound has been used to diagnose and stage gastrointestinal and nongastrointestinal tumours. To our knowledge, the present report describes the first case of celiac and perigastric lymph node metastasis of prostate cancer diagnosed with endoscopic ultrasound-guided fine-needle aspiration.


2010 ◽  
Vol 5 (7) ◽  
pp. 981-987 ◽  
Author(s):  
Stephen C. Kanick ◽  
Cor van der Leest ◽  
Remco S. Djamin ◽  
Andre M. Janssens ◽  
Henk C. Hoogsteden ◽  
...  

Endoscopy ◽  
2011 ◽  
Vol 43 (S 02) ◽  
pp. E122-E123
Author(s):  
T. Cârţână ◽  
A. Săftoiu ◽  
C. Popescu ◽  
D. Gheonea ◽  
T. Ciurea ◽  
...  

2015 ◽  
Vol 4 (1) ◽  
pp. 73 ◽  
Author(s):  
SurinderSingh Rana ◽  
Rajesh Gupta ◽  
Usha Dutta ◽  
DeepakKumar Bhasin ◽  
Vinita Chaudhary ◽  
...  

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