EUS-FNA can be an effective procedure for the transesophageal drainage of a patient with intra-peritoneal abscess

Abstract

Endoscopic ultrasonography-guided fine needle aspiration (EUS-FNA) is considered to be a highly beneficial and safe diagnostic tool. EUS-FNA now has a greater clinical impact because the technique is currently being applied for therapeutic as well as diagnostic purposes. The treatment of intra-peritoneal abscess after peptic ulcer perforation has traditionally been by surgery, especially when percutaneous abscess drainage is unfeasible. We report that less invasive drainage using EUS-FNA was useful in treating a patient with an abscess who had no other option but to select surgical treatment.

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

“…The literature search revealed only one published case report, which revealed EUS-guided fine-needle aspiration for the treatment of complication of PPU. 3 This case report demonstrates our experience of treating intraperitoneal abscess resulting from PPU with EUS-guided drainage.…”

“…1 The surgical treatment does carry morbidity. 1,3 In this case, the collection was situated only in lesser sac without contaminating the greater sac. Hence, therapeutic treatment with the help of EUS was decided as a modality.…”

“…1 Recently reported literature suggests that an application of endoscopic ultrasonography (EUS) guided drainage is feasible for the treatment of intraperitoneal abscess adjacent to the digestive tract. 2,3 EUS-guided drainage is a well-established treatment of pancreatic pseudocysts. 4 Here, we report a case in which EUS-guided drainage was successfully implemented to drain an intraperitoneal abscess following sealed-off peptic perforation.…”

Difficult to treat esophageal perforation after endoscopic balloon dilation for stenosis due to endoscopic submucosal dissection followed by chemoradiotherapy: A case report

“…On the day of admission, the inflammation was confined to the mediastinum around the perforation site. If the diagnosis of esophageal perforation had been appropriately made by upper gastrointestinal endoscopy at the time of admission, percutaneous tube insertion or endoscopic transesophageal abscess drainage [22] could have been performed to achieve improvement in a shorter period. This could have been a good situation for the indication of E-VAC; however, in Japan, E-VAC is unusable.…”