Fig. 2.

 EUS. a Linear endoscopic ultrasound demonstrating a 6 x 5 cm hypoechoic, well defined mass in the head of the pancreas. b Endoscopic ultrasound with Tru-Cut biopsy using a 19-gauge needle (Quick-Core; Cook Medical, Inc.; Winston-Salem, North Carolina, United States) of the pancreatic head mass. c Endoscopic ultrasound exam after needle fracture showing 2.7 cm of the needle within the pancreatic head. d Picture of the fractured needle protruding through the sheath. e Non-contrast axial CT demonstrating the fractured needle within the pancreatic head. After surgical consultation, the patient did not require hospitalization. The needle was removed uneventfully during pancreatoduodenectomy six weeks later. Pathology demonstrated chronic pancreatitis without malignancy.