Case 164: Parting of the Bowel Loops with a Blunt-Tip

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CT Guided BiopsyBhavin Jankharia

Current Case:

A 69-years old treated earlier for carcinoma ovary and endometrium, presented with new mesenteric nodules/nodes.

The oncologist wanted a biopsy.

This node/nodule and approach seemed to be the best bet.

The video describes the case, the use of the blunt-tip to bypass the bowel without going transbowel and the ease with which these lesions can be targeted.

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Region: Mesentery, Pelvis
Age: 69 yrs
Findings: Mesenteric nodules/nodes
Lesion Biopsied: Pelvic mesenteric nodule/node
Size of Lesion: 20.1 mm z axis x 21.9 mm
Gun: 18G BARD, 20 mm throw, long, used 10 mm with hub
No of cores: 5 for histopath and aspirate for cytology
Sedation: No
Position & Approach: Supine, blunt tip
Time Taken (marker to wash-out): 10 mins
Complication: None
Level of Difficulty: 3/5
Diagnosis: Metastatic adenocarcinoma ovary/uterus