Fluoroscopic “Candy Sign” of the Metallic Stent in Endoscopic Ultrasound-Guided Transmural Drainage

Endoscopic ultrasound-guided intervention is the emerging procedure for many pancreatico-biliary disorders. It is considered now as the standard line of drainage of pancreatic and peri-pancreatic fluid collections. It is also considered the first option for biliary decompression in patients with distal malignant biliary obstruction as a salvage method for failed or unsuitable Endoscopic Retrograde Chola ngio- pancr eatog raphy (ERCP). Here, we present two cases: the first is a case of endoscopic ultrasound (EUS)-guided cystogastrostomy and the second is an EUS-guided chole docho duode nosto my (CDS), both showed a unique sign called the Candy signs, which has several explanations.

Cite this article as: Ghoneem E, Shiha G, Elmetwally O, AbdAllah O. Fluoroscopic “Candy Sign” of the metallic stent in endoscopic ultrasound-guided transmural drainage. Diagn Interv Endosc. 2022;1(3):82-85.