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Volume 7, Issue 7 (Suppl)

J Gastrointest Dig Syst

ISSN: 2161-069X JGDS, an open access journal

Gastroenterologists 2017

December 14-15, 2017

December 14-15, 2017 Dubai, UAE

World

Gastroenterologists Summit

Endoscopic ultrasound-guided drainage of pelvic abscess: A case series of 8 patients

M Hadithi

Maasstad Hospital, Netherlands

ndoscopic ultrasound (EUS) has proven to be safe and effective in themanagement of deep pelvic abscess that are inaccessible

for percutaneous drainage. EUS-guided drainage could be performed in eight consecutive patients with pelvic abscess that

were not amenable to drainage under computed tomography (CT) guidance. These patients developed the abscesses secondary

to diverticulitis (n=4), postsurgical surgical complications (n=2), iatrogenic after enema (n=1) and Crohn's disease (n=1). The

abscess was peri-sigmoidal in 2 and was multilocular in 4 patients. All procedures were performed under conscious sedation

and without fluoroscopic monitoring. Abscesses were all drained under EUS guidance via a transrectal or trans-sigmoidal

approach. Fluid samples were successfully retrieved for microbiological studies in all cases and antibiotic policy was adjusted

according to culture results in 5 patients. EUS-guided placement of one or two 7 Fr pigtail stents was technically successful

and uneventful in all 8 patients (100%). Follow-up CT showed complete recovery and disappearance of abscess. The stents

were retrieved by sigmoidoscopy in only two patients and had spontaneously migrated to outside in six patients. All drainage

procedures resulted in a favorable clinical outcome. All patients became afebrile within 24 hours after drainage and the mean

duration of the post-procedure hospital stay was 8 days (range 4-14). Within a median follow up period of 38 months (range

12-52) no recurrence was reported. EUS-guided drainage of pelvic abscesses without fluoroscopic monitoring is a minimally

invasive, safe and effective approach that should be considered in selected patients.

J Gastrointest Dig Syst 2017, 7:7 (Suppl)

DOI: 10.4172/2161-069X-C1-062