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Special stent for draining the abdominal abscess respectively from colon and duodenum: A case report
Fu-Long Zhang1, Jing Xu2, Yu-Hong Jiang1
1Department of Gastroenterology, Hangzhou Xixi Hospital, Hangzhou 310023, Zhejiang Province, China.
Background:
Postoperative abdominal infections are an important and heterogeneous health challenge. Many samll abdominal abscesses are resolved with antibiotics, but larger or symptomatic abscesses may require procedural management.
Case Summary:
A 65-year-old male patient who suffered operation for the left hepatocellular carcinoma eight months ago, came to our hospital with recurrent abdominal pain, vomit, and fever for one month. Abdominal computed tomography showed that a big low-density dumbbell-shaped mass among the liver and intestine. Colonoscopy showed a submucosal mass with a fistula at colon of liver region. Gastroscopy showed a big rupture on the submucosal mass at the descending duodenum and a fistula at the duodenal bulb. Under colonoscopy, the brown liquid and pus were drained from the mass with "special stent device". Under gastroscopy, we closed the rupture of the mass with a loop and six clips for purse stitching at the descending duodenum, and the same method as colonoscopy was used to drain the brown liquid and pus from the mass. The symptom of abdominal pain, vomit and fever were relieved after the treatment.
Conclusion:
The special stent device could be effectively for draining the abdominal abscess respectively from colon and duodenum.
Insights
A novel stent effectively drained abdominal abscesses in the colon and duodenum, resolving symptoms in a patient with hepatocellular carcinoma. This minimally invasive approach offers a new option for managing complex postoperative infections.
Area of Science:
- Gastroenterology
- Surgical Innovation
- Infectious Disease Management
Background:
- Postoperative abdominal infections pose a significant clinical challenge.
- While small abscesses often respond to antibiotics, larger or symptomatic ones necessitate procedural intervention.
Observation:
- A 65-year-old male, post-hepatocellular carcinoma surgery, presented with symptoms of abdominal infection.
- Imaging revealed a large, dumbbell-shaped mass compressing the liver and intestines, with fistulas identified in the colon and duodenum.
- Endoscopic procedures were employed to drain the abscess and close duodenal defects.
Findings:
- A specialized stent device facilitated effective drainage of purulent material from both the colon and duodenum.
- The patient's symptoms, including abdominal pain, vomiting, and fever, significantly improved post-treatment.
Implications:
- This case highlights the efficacy of a specialized stent device for minimally invasive abdominal abscess drainage.
- The findings suggest a potentially valuable therapeutic option for complex postoperative intra-abdominal infections involving multiple organs.
