Novel endoscopic management for pancreatic pseudocyst with fistula to the common bile duct

Figure 2 Pancreatic pseudocystis intervention. First step: Endoscopic ultrasound-guided puncture with 19-gauge dedicated needle of the pancreatic collection containing necrotic debris (A); Second step: Placement of the first plastic stent and two guidewire into the pseudocysts (PPs) for the placement of the second stent and the nasocystic drain (B); Third step: Fluoroscopic image showing the biliary stent (arrowhead), two PPs double pigtail stents and the nasocystic drain (C).