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CC BY-NC-ND 4.0 · Journal of Digestive Endoscopy 2019; 10(04): 230-233
DOI: 10.1055/s-0039-3401384
Case Report

Successful Endoscopic Ultrasound Guided Drainage of Large Lesser Sac Abscess Cavity Postgastric Ulcer Sealed-Off Perforation: Novel Approach

Keyur Bhatt
1   Department of GI Minimal Access Surgery, SIDS Hospital & Research Centre, Surat, Gujarat, India
,
Dhaval Mangukiya
1   Department of GI Minimal Access Surgery, SIDS Hospital & Research Centre, Surat, Gujarat, India
,
Pankaj Desai
1   Department of GI Minimal Access Surgery, SIDS Hospital & Research Centre, Surat, Gujarat, India
,
Krishna Parekh
2   Department of Clinical Research, SIDS Hospital & Research Centre, Surat, Gujarat, India
› Author Affiliations Funding Nil.
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Abstract

Endoscopic ultrasonography (EUS) guided drainage is a beneficial and safe therapeutic tool that is used for the treatment of pancreatic mass and pseudocysts. Currently, the application of EUS-guided drainage is increasing for the treatment of different complications such as intraperitoneal abscess drainage following perforated peptic ulcer (PPU) or pararectal abscess. The intraperitoneal abscess with PPU is traditionally treated with surgical treatment. Herein, we report a lesser invasive drainage technique in the form of EUS-guided drainage for the treatment of intraperitoneal abscess.

Keywords

endoscopic ultrasonography guided drainage - intraperitoneal abscess cavity - perforated peptic ulcer


Publication History

Article published online:
04 May 2020

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  • References

  • 1 Søreide K, Thorsen K, Harrison EM. et al. Perforated peptic ulcer. Lancet 2015; 386 (10000): 1288-1298
    CrossrefPubMedGoogle Scholar
  • 2 Mandai K, Shirakawa A, Uno K, Yasuda K. Endoscopic ultrasound-guided drainage of intra-abdominal abscess after gastric perforation in a patient receiving ramucirumab and paclitaxel for advanced gastric cancer. Case Rep Oncol 2017; 10 (01) 15-20
    CrossrefPubMedGoogle Scholar
  • 3 Hara A, Fukunishi S, Sasaki Y, Sanomura M, Higuchi K. EUS-FNA can be an effective procedure for the transesophageal drainage of a patient with intra-peritoneal abscess. Clin J Gastroenterol 2015; 8 (04) 212-216
    CrossrefPubMedGoogle Scholar
  • 4 Sadik R, Kalaitzakis E, Thune A, Hansen J, Jönson C. EUS-guided drainage is more successful in pancreatic pseudocysts compared with abscesses. World J Gastroenterol 2011; 17 (04) 499-505
    CrossrefPubMedGoogle Scholar