Abstract
Question: A 48-year-old male patient with chronic pancreatitis presented with progressive epigastric and thoracic pain and dysphagia over the previous 2 weeks. Physical examination revealed cachexia and mild peripheral edema. Laboratory tests showed no elevation of cardiac troponin or creatinine kinase, and the electrocardiography was unremarkable. The medical history of the patient included previous drainage of a large (9 × 8 cm) pancreatic pseudocyst, which was located between the stomach and the diaphragm and had been drained with a lumen-apposing metal stent (LAMS) 4 months earlier (Figure A).
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