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Indian Journal of Gastroenterology

, Volume 31, Issue 6, pp 346–348 | Cite as

Endoscopically drained abdominal abscess compressing the sigmoid

  • Dimitrios Polymeros
  • Athanasios D. SioulasEmail author
  • Zacharias Tsiamoulos
  • Christina Kontopoulou
  • Efthymia Giannitsioti
  • Konstantinos Triantafyllou
Case Report
  • 53 Downloads

Abstract

Intra-abdominal abscesses (IAA) complicate numerous medical and surgical pathologic conditions. Accurate radiological diagnosis combined with percutaneous or surgical drainage and antibiotics is the current standard of care for IAA. We herein report a case of a 52-year-old woman with a 10-day history of fever and abdominal pain. An intra-abdominal abscess externally compressing the sigmoid was revealed and successfully drained during colonoscopy.

Keywords

Abscess drainage Colonoscopy 

Notes

Disclosure of Interest

None declared

Funding

None

Supplementary material

Fig. S1

Endoscopic abscess drainage and subsequent lesion shrinkage (WMV 5162 kb)

References

  1. 1.
    Miney JP, Champine JG. Abdominal abscesses and gastrointestinal fistulas. In: Feldman M, et al., editors. Sleisenger & Fordtran’s Gastrointestinal and Liver Disease. Vol. 1. 9th ed. Philadelphia: Elsevier; 2010. p. 411–24.CrossRefGoogle Scholar
  2. 2.
    Johnson WC, Gerzof SG, Robbins AH, Nabseth DC. Treatment of abdominal abscesses: comparative evaluation of operative drainage versus percutaneous catheter drainage guided by computed tomography or ultrasound. Ann Surg. 1981;194:510–20.PubMedCrossRefGoogle Scholar
  3. 3.
    Maher M, Gervais DA, Kalra MK, et al. The inaccessible or undrainable abscess: how to drain it. Radiographics. 2004;24:717–35.PubMedCrossRefGoogle Scholar
  4. 4.
    Rustemovic N, Opacic M, Bates T, et al. Endoscopic ultrasound-guided drainage of an intra-abdominal abscess: a new therapeutic window to the left subphrenic space. Endoscopy. 2006;38:E17–8.PubMedCrossRefGoogle Scholar
  5. 5.
    Baron TH, Morgan DE. Endoscopic transrectal drainage of a diverticular abscess. Gastrointest Endosc. 1997;45:84–7.PubMedCrossRefGoogle Scholar
  6. 6.
    Feld R, Eschelman DJ, Sagerman JE, Segal S, Hovsepian DM, Sullivan KL. Treatment of pelvic abscesses and other fluid collections: efficacy of transvaginal sonographically guided aspiration and drainage. AJR Am J Roentgenol. 1994;163:1141–5.PubMedGoogle Scholar
  7. 7.
    Alis H, Soylu A, Dolay K, Aygun E. Endoscopic transcolonic catheter-free pelvic abscess drainage. Can J Gastroenterol. 2008;22:983–6.PubMedGoogle Scholar

Copyright information

© Indian Society of Gastroenterology 2012

Authors and Affiliations

  • Dimitrios Polymeros
    • 1
  • Athanasios D. Sioulas
    • 1
    Email author
  • Zacharias Tsiamoulos
    • 1
  • Christina Kontopoulou
    • 2
  • Efthymia Giannitsioti
    • 3
  • Konstantinos Triantafyllou
    • 1
  1. 1.Hepatogastroenterology Unit, 2nd Department of Internal Medicine and Research UnitUniversity of Athens Medical School, Attikon University General HospitalHaidariGreece
  2. 2.2nd Department of RadiologyUniversity of Athens Medical School, Attikon University General HospitalHaidariGreece
  3. 3.4th Department of Internal MedicineUniversity of Athens Medical School, Attikon University General HospitalHaidariGreece

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