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©2014 Baishideng Publishing Group Inc. All rights reserved.
World J Gastrointest Endosc. Aug 16, 2014; 6(8): 373-378
Published online Aug 16, 2014. doi: 10.4253/wjge.v6.i8.373
Published online Aug 16, 2014. doi: 10.4253/wjge.v6.i8.373
Endoscopic ultrasound-guided drainage of pelvic abscess: A case series of 8 patients
Muhammed Hadithi, Department of Gastroenterology, Maasstad Hospital, 3079 DZ Rotterdam, The Netherlands
Marco J Bruno, Department of Gastroenterology and Hepatology, Erasmus MC University Medical Center, 3015 CE Rotterdam, The Netherlands
Author contributions: Hadithi M and Bruno MJ designed the research; Hadithi M performed the research and contributed new therapeutic tools; Hadithi M and Bruno MJ analysed the data and wrote the paper.
Correspondence to: Muhammed Hadithi, Department of Gastroenterology, Maasstad Hospital, Maasstadweg 21, 3079 DZ Rotterdam, The Netherlands. hadithim@maasstadziekenhuis.nl
Telephone: +31-10-2912282 Fax: +31-10-2911013
Received: March 30, 2014
Revised: June 5, 2014
Accepted: June 27, 2014
Published online: August 16, 2014
Processing time: 136 Days and 21.8 Hours
Revised: June 5, 2014
Accepted: June 27, 2014
Published online: August 16, 2014
Processing time: 136 Days and 21.8 Hours
Core Tip
Core tip: For pelvic abscesses that are not amenable to percutaneous drainage, EUS-guided drainage affords a safe and efficient alternative method. The procedure was performed in eight patients under conscious sedation and without a radiological monitoring. One or two plastic stents (7 Fr) were placed after dilatation of the tract with a balloon in four patients. Revising this technique by using a cystotome in other four patients appeared feasible and without adverse events. Abscess resolution was documented by imaging examination in all patients. This outcome was not affected although spontaneous stent dislodgment or migration occurred in the majority of patients.