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
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- 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.
- KMID: 2411978
- DOI: http://doi.org/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 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.
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