Successful Endosonography-Guided Drainage of an Intra-Abdominal Abscess in a 1-Year-Old Infant.
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.
Department of Gastroenterology, Red Cross Medical Center, Tokyo, Japan.
Yukiko
Y
Ito
Department of Gastroenterology, Red Cross Medical Center, Tokyo, Japan.|Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Hiroyuki
H
Isayama
Department of Gastroenterology, Red Cross Medical Center, Tokyo, Japan.|Department of Gastroenterology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan.
Yousuke
Y
Nakai
Department of Gastroenterology, Red Cross Medical Center, Tokyo, Japan.
Gyoutane
G
Umefune
Department of Gastroenterology, Red Cross Medical Center, Tokyo, Japan.
Tatsuya
T
Sato
Department of Pediatric Surgery, Red Cross Medical Center, Tokyo, Japan.
Saori
S
Nakahara
Department of Anesthesiology, Red Cross Medical Center, Tokyo, Japan.
Junko
J
Suwa
Department of Anesthesiology, Red Cross Medical Center, Tokyo, Japan.
Keiichi
K
Kato
Department of Gastroenterology, Red Cross Medical Center, Tokyo, Japan.
Ryo
R
Nakata
D018784:Abdominal Abscess / Q000601:surgery*; D004322:Drainage / Q000379:methods; D019160:Endosonography / Q000379:methods; D005260:Female; D006801:Humans; D007223:Infant; D025321:Surgery, Computer-Assisted; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome
Abdominal abscess; Endosconography; Infant; Interventional endosconography