A 31-year-old male with a history of recently diagnosed acute necrotizing pancreatitis secondary to choledocholithiasis was admitted for abdominal pain. An abdominal ultrasound revealed multiple cysts with septations in the pancreatic region and multiple gallstones. The patient then underwent an MRI of his abdomen which revealed multiple pseudocysts, the largest one measuring 9.8 x 11.6 x 17cm along the body and tail of the pancreas (figures 1 and 2). The other cysts measured 10.6cm extending to the left lower quadrant and a 9cm cyst along the anterior aspect of the head of the pancreas. The patient underwent EUS-guided cystogastrostomy with staged endoscopic necrosectomy using the AXIOS Stent and Delivery System.