Abstract
We report a case of successful endoscopic drainage of an ileocecal abscess. A-73-year-old male had an abscess of unknown origin. On admission, Pelvic CT scan revealed a heterogenous mass in the ileocecal lesion and colonoscopy showed that pus was discharged from the vermiform appendix. The patient was on warfarin postoperatively following an artificial valve replacement for aortic regurgitation, and thus had the tendency to bleed extensively, ruling out an emergency operation. For the confirmation of an invaginated abscess, a contrasting ERCP tube was inserted into the appendix and the mass was fully contrasted. After insertion of a guide wire, an ERBD tube was inserted and a large quantity of white matter flowed out and was drained off. After the patient had achieved a generally stable condition, appendectomy was performed. From the pathological findings, perforation of the vermiform appendix diverticulum was believed to be the major cause of the abscess.
