Successful Endosonography-Guided Drainage of an Intra-Abdominal Abscess in a 1-Year-Old Infant

Gut Liver. 2016 May 23;10(3):483-5. doi: 10.5009/gnl15381.

Abstract

Endoscopic ultrasound (EUS)-guided intervention has been established as a safe, effective and minimally invasive procedure for various diseases in adults, but there have been limited reports in pediatric patients. Herein, we report our experience with successful EUS-guided drainage of an intraabdominal abscess in a 1-year-old infant concomitant with disseminated intravascular coagulation. The abscess was punctured via the stomach using a standard, convex-type echoendoscope, and the patient's condition improved after naso-cystic catheter placement. Although the clinical course was complicated by delayed hemorrhage from the puncture site, the bleeding was successfully managed by endoscopic hemostasis using a standard forward-viewing endoscope.

Keywords: Abdominal abscess; Endosconography; Infant; Interventional endosconography.

Publication types

  • Case Reports

MeSH terms

  • Abdominal Abscess / surgery*
  • Drainage / methods
  • Endosonography / methods
  • Female
  • Humans
  • Infant
  • Surgery, Computer-Assisted
  • Tomography, X-Ray Computed
  • Treatment Outcome