Successful Endosonography-Guided Drainage of an Intra-Abdominal Abscess in a 1-Year-Old Infant.
- Author:
Yukiko ITO
1
;
Hiroyuki ISAYAMA
;
Yousuke NAKAI
;
Gyoutane UMEFUNE
;
Tatsuya SATO
;
Saori NAKAHARA
;
Junko SUWA
;
Keiichi KATO
;
Ryo NAKATA
Author Information
1. Department of Gastroenterology, Red Cross Medical Center, The University of Tokyo, Tokyo, Japan. isayama-tky@umin.ac.jp
- Publication Type:Original Article
- Keywords:
Endosconography;
Interventional endosconography;
Infant;
Abdominal abscess
- MeSH:
Abdominal Abscess*;
Abscess;
Adult;
Catheters;
Disseminated Intravascular Coagulation;
Drainage*;
Endoscopes;
Hemorrhage;
Hemostasis, Endoscopic;
Humans;
Infant*;
Punctures;
Stomach;
Ultrasonography
- From:Gut and Liver
2016;10(3):483-485
- CountryRepublic of Korea
- Language:English
-
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.