Endoscopic Ultrasound Guided Transrectal Drainage of a Nonresolving Multiloculated Rectal Abscess in a Patient With Advanced Anal Squamous Cell Carcinoma
ACG Case Reports Journal | June 12, 2026 | Volume: 13 | Issue: 6 | Pages: No page available
Correction to: Trans-Sigmoidal Endoscopic Ultrasound-Guided Fine-Needle Biopsy of Pancreatic Allograft in Simultaneous Pancreas-Kidney Transplant Recipient: A Novel Approach Following Conventional Technique Failure
ACG Case Reports Journal | November 24, 2025 | Volume: 12 | Issue: 11 | Pages: No page available
Trans-Sigmoidal Endoscopic Ultrasound-Guided Fine-Needle Biopsy of Pancreatic Allograft in Simultaneous Pancreas-Kidney Transplant Recipient: A Novel Approach Following Conventional Technique Failure
ACG Case Reports Journal | October 27, 2025 | Volume: 12 | Issue: 10 | Pages: No page available
ABSTRACT We report the first known use of a trans-sigmoidal endoscopic ultrasound-guided biopsy in a patient with a simultaneous pancreas-kidney transplant, following failed conventional percutaneous biopsy methods. A 50-year-old man with a simultaneous pancreas-kidney transplant was suspected of graft dysfunction. Multiple percutaneous biopsies were unsuccessful due to anatomical barriers. After a multidisciplinary review, a trans-sigmoidal endoscopic ultrasound approach was attempted, yielding sufficient tissue for histopathology without complications. Histology revealed no evidence of acute rejection. This novel technique expands the potential for biopsy in complex transplant anatomies and should be considered in highly selected cases within specialized centers.