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Successful Endosonography-Guided Drainage of an Intra-Abdominal Abscess in a 1-Year-Old Infant
Yukiko Ito1, Hiroyuki Isayama1,2, Yousuke Nakai1,2
1Department of Gastroenterology, Red Cross Medical Center, Tokyo, Japan.
Insights
Endoscopic ultrasound (EUS)-guided drainage successfully treated an intraabdominal abscess in a 1-year-old infant. This minimally invasive approach, even with complications like bleeding, offers a viable option for pediatric interventions.
Area of Science:
- Pediatric Gastroenterology
- Minimally Invasive Surgery
- Interventional Endoscopy
Background:
- Endoscopic ultrasound (EUS)-guided interventions are established in adults but underreported in pediatric cases.
- Intraabdominal abscesses pose significant challenges in infants, especially with comorbidities like disseminated intravascular coagulation (DIC).
Observation:
- A 1-year-old infant with an intraabdominal abscess and DIC underwent EUS-guided drainage.
- The procedure utilized a standard convex-type echoendoscope for gastric puncture and subsequent naso-cystic catheter placement.
Findings:
- Successful drainage led to clinical improvement in the infant's condition.
- Delayed hemorrhage from the puncture site occurred but was effectively managed with endoscopic hemostasis using a forward-viewing endoscope.
Implications:
- This case demonstrates the feasibility and safety of EUS-guided interventions in infants.
- EUS-guided drainage can be a valuable minimally invasive therapeutic option for intraabdominal abscesses in pediatric patients.
- Successful management of complications highlights the versatility of endoscopic techniques in challenging pediatric cases.
Abstract:
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.
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