2018 Volume 32 Issue 5 Pages 891-899
Endoscopic ultrasound-guided gastrointestinal drainage is commonly performed for a reservoir of infection in the body cavity caused by pancreatitis, while percutaneous drainage and drainage by laparotomy are still common for causes other than pancreatitis. However, in recent years, endoscopic ultrasound-guided drainage has been performed for various reservoirs of infection. We present a case of successful endoscopic ultrasound-guided drainage for intra-abdominal abscess that developed following cholecystectomy. The patient was a 65-year-old man who underwent laparoscopic cholecystectomy for acute cholecystitis. He developed abdominal pain and fever following the procedure, and a computed tomography scan revealed the presence of an abscess in the location corresponding to the location of cholecystectomy. The route for percutaneous drainage was inaccessible; thus, endoscopic ultrasound-guided drainage was performed. Access was achieved from the duodenal bulb, and a tube stent was inserted into the abscess for internal drainage. Inflammation resolved rapidly, and the abscess was reduced in size and eventually disappeared. There has not been any recurrence of the abscess since the procedure was performed. Thus, endoscopic ultrasound-guided drainage of an abscess is a minimally-invasive procedure, and can be performed effectively and safely in patients.
