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Abdominal Abscess Related to Endoscopically Placed AspireAssist® Device
Mihajlo Gjeorgjievski1, Naveen Reddy1, Veslav Stecevic1
1Division of Gastroenterology and Hepatology, Department of Medicine, William Beaumont Hospital, Royal Oak, MI.
ACG Case Reports Journal
|February 28, 2018
Summary
A diabetic patient developed a large abdominal abscess caused by Streptococcus intermedius following aspiration tube placement. Prompt removal of the tube and antibiotic treatment led to complete recovery.
Area of Science:
- Gastroenterology
- Infectious Diseases
- Surgical Complications
Background:
- Aspiration tube placement is a common procedure for managing abdominal fluid collections.
- Complications, though rare, can include infectious processes and abscess formation.
- Prompt diagnosis and management are crucial for patient outcomes.
Observation:
- A 55-year-old diabetic female presented with abdominal pain, fever, and elevated white blood cell count 3 months post-aspiration tube placement.
- Computed tomography revealed a significant hypodense mass in the anterior abdominal wall.
- Aspiration of the mass yielded purulent fluid.
Findings:
- Microbiological analysis identified *Streptococcus intermedius* as the causative agent of the abscess.
- The aspiration tube was successfully removed, and the gastric stoma was closed with endoclips.
- The patient received a 21-day course of antibiotics.
Implications:
- This case highlights the potential for delayed abscess formation after aspiration tube placement, even in the absence of immediate signs of infection.
- Effective management involves prompt identification of the pathogen, removal of the foreign body (aspiration tube), and targeted antibiotic therapy.
- Early intervention can lead to favorable outcomes, including complete resolution of the abscess and wound healing.
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