Gut Liver.  2016 May;10(3):483-485. 10.5009/gnl15381.

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

Affiliations
  • 1Department of Gastroenterology, Red Cross Medical Center, The University of Tokyo, Tokyo, Japan. isayama-tky@umin.ac.jp
  • 2Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
  • 3Department of Pediatric Surgery, Red Cross Medical Center, Tokyo, Japan.
  • 4Department of Anesthesiology, Red Cross Medical Center, Tokyo, Japan.

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 intra-abdominal 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.

Keyword

Endosconography; Interventional endosconography; Infant; Abdominal abscess

MeSH Terms

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