Endoscopic Ultrasound-Guided Drainage of Intramural Duodenal Abscess Caused by Foreign Body Ingestion

A 63-year-old man presented with fever and generalized weakness for 2 days. Computed tomography scan showed an intramural duodenal abscess and a linear radiolucent foreign body penetrating the duodenal wall. Endoscopic drainage was performed. Endoscopic ultrasound showed fluid collection in the seco...

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Autores principales: Ricardo, Juan, Alkayali, Talal, Wojtkowski, Antoni, Busari, Kafayat, Okanobo, Heitor, Kucera, Stephen
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7447455/
https://www.ncbi.nlm.nih.gov/pubmed/32903917
http://dx.doi.org/10.14309/crj.0000000000000448
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author Ricardo, Juan
Alkayali, Talal
Wojtkowski, Antoni
Busari, Kafayat
Okanobo, Heitor
Kucera, Stephen
author_facet Ricardo, Juan
Alkayali, Talal
Wojtkowski, Antoni
Busari, Kafayat
Okanobo, Heitor
Kucera, Stephen
author_sort Ricardo, Juan
collection PubMed
description A 63-year-old man presented with fever and generalized weakness for 2 days. Computed tomography scan showed an intramural duodenal abscess and a linear radiolucent foreign body penetrating the duodenal wall. Endoscopic drainage was performed. Endoscopic ultrasound showed fluid collection in the second portion of the duodenum. The duodenal lumen was punctured with the creation of stoma using a lumen-apposing metal stent and electrocautery system. The stent was deployed, and the drainage of purulent fluid followed. The foreign body was suspected to be a wire brush bristle. The patient received intravenous antibiotics for 14 days. Follow-up images showed the resolution of the abscess.
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spelling pubmed-74474552020-09-04 Endoscopic Ultrasound-Guided Drainage of Intramural Duodenal Abscess Caused by Foreign Body Ingestion Ricardo, Juan Alkayali, Talal Wojtkowski, Antoni Busari, Kafayat Okanobo, Heitor Kucera, Stephen ACG Case Rep J Case Report A 63-year-old man presented with fever and generalized weakness for 2 days. Computed tomography scan showed an intramural duodenal abscess and a linear radiolucent foreign body penetrating the duodenal wall. Endoscopic drainage was performed. Endoscopic ultrasound showed fluid collection in the second portion of the duodenum. The duodenal lumen was punctured with the creation of stoma using a lumen-apposing metal stent and electrocautery system. The stent was deployed, and the drainage of purulent fluid followed. The foreign body was suspected to be a wire brush bristle. The patient received intravenous antibiotics for 14 days. Follow-up images showed the resolution of the abscess. Wolters Kluwer 2020-08-25 /pmc/articles/PMC7447455/ /pubmed/32903917 http://dx.doi.org/10.14309/crj.0000000000000448 Text en © 2020 The Author(s). Published by Wolters Kluwer Health, Inc. on behalf of The American College of Gastroenterology. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Case Report
Ricardo, Juan
Alkayali, Talal
Wojtkowski, Antoni
Busari, Kafayat
Okanobo, Heitor
Kucera, Stephen
Endoscopic Ultrasound-Guided Drainage of Intramural Duodenal Abscess Caused by Foreign Body Ingestion
title Endoscopic Ultrasound-Guided Drainage of Intramural Duodenal Abscess Caused by Foreign Body Ingestion
title_full Endoscopic Ultrasound-Guided Drainage of Intramural Duodenal Abscess Caused by Foreign Body Ingestion
title_fullStr Endoscopic Ultrasound-Guided Drainage of Intramural Duodenal Abscess Caused by Foreign Body Ingestion
title_full_unstemmed Endoscopic Ultrasound-Guided Drainage of Intramural Duodenal Abscess Caused by Foreign Body Ingestion
title_short Endoscopic Ultrasound-Guided Drainage of Intramural Duodenal Abscess Caused by Foreign Body Ingestion
title_sort endoscopic ultrasound-guided drainage of intramural duodenal abscess caused by foreign body ingestion
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7447455/
https://www.ncbi.nlm.nih.gov/pubmed/32903917
http://dx.doi.org/10.14309/crj.0000000000000448
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