ABDOMINAL ABSCESS EUS-GUIDED DRAINAGE USING LUMEN-APPOSING-METAL STENT

Here the case of a71-year-old-man affected by head pancreatic cancer,carrying on uncoveredSEMS in CBD. During chemotherapy, septic shock occurred. CT-scan revealed abdominal abscess adjacent to major gastric curve.The collection was punctured obtaining purulent liquid for microbiological evaluation to target antimicrobic therapy. A 15mm x 10 mmLAMS was deployed with subsequent flowing of purulent fluid in the gastric lumen. Clinical scenario rapidly improved. Ten-days laterCT-scan control confirmed resolution of the collection. The stent was removed with retrieval forceps and OTSC was placed to completely close the gastric hole. The patient remained in satisfying clinical condition;he was discharged home the day after and was referred to restart oncologic treatment.