TRANSABDOMINAL SEMS PLACEMENT AS A RESCUE THERAPY TO DRAIN POST-ACUTE PANCREATITIS COLLECTION: A CASE REPORT (WITH VIDEO)

A 60-year-old female was hospitalized for a severe pancreatitis complicated by a large infected abdominal capsuled collection in the iliac area. A radiological guided drainage (14 Fr) was placed and connected to a Redon vacuum bottle without improvement due to solid necrotic tissue obstruction. The external drainage was removed and an oesophageal FC-SEMS (Taewoong Niti-S; 120x20 mm) was placed; endoscopic necrosectomy was performed pushing a gastroscope (UGT-By Olympus) through the SEMS until resolution of the collection.

Our experience demonstrates that isolated abdominal abscesses may be treated by SEMS percutaneous placement, a conservative approach that decreases time of healing and costs.

Publication History

Article published online:
14 April 2022