1.Successful Endosonography-Guided Drainage of an Intra-Abdominal Abscess in a 1-Year-Old Infant.
Yukiko ITO ; Hiroyuki ISAYAMA ; Yousuke NAKAI ; Gyoutane UMEFUNE ; Tatsuya SATO ; Saori NAKAHARA ; Junko SUWA ; Keiichi KATO ; Ryo NAKATA
Gut and Liver 2016;10(3):483-485
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.
Abdominal Abscess*
;
Abscess
;
Adult
;
Catheters
;
Disseminated Intravascular Coagulation
;
Drainage*
;
Endoscopes
;
Hemorrhage
;
Hemostasis, Endoscopic
;
Humans
;
Infant*
;
Punctures
;
Stomach
;
Ultrasonography