Pancreatic pseudocyst drainage guided by endoscopic ultrasound

Figure 4 The same patient as previus images. A: The patient was treated with placement of three transmural double pigtail stents, and a thinner nasocystic drainage catheter because of dense cyst contents; B: The pseudocyst has disappeared after 4 wk with the stents. One of the stents has migrated and the other two can be seen communicating between the gastric lumen and the collapsed cyst cavity. Both stents were retrieved uneventfully and the patient remains asymptomatic 6 mo later.