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KMID : 1188320160100030483
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Gut and Liver
2016 Volume.10 No. 3 p.483 ~ p.485
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Successful Endosonography-Guided Drainage of an Intra-Abdominal Abscess in a 1-Year-Old Infant
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Yukiko Ito
Hiroyuki Isayama
Yousuke Nakai
Gyoutane Umefune
Tatsuya Sato
Saori Nakahara
Junko Suwa
Keiichi Kato
Ryo Nakata
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Abstract
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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 intra-abdominal 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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KEYWORD
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Endosconography, Interventional endosconography, Infant, Abdominal abscess
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