Endoscopy 2022; 54(S 01): S87
DOI: 10.1055/s-0042-1744768
Abstracts | ESGE Days 2022
ESGE Days 2022 Oral presentations
08:30–09:30 Saturday, 30 April 2022 Club A. Optimizing EUS guided interventions

ENDOSCOPIC ULTRASOUND-GUIDED DRAINAGE OF PERIRECTAL ABSCESS IN PYODERMA GANGRENOSUM

M. Gesualdo
1   AOU Città della Salute e della Scienza, University of Turin, Division of Gastroenterology, Endoscopy Unit, Turin, Italy
,
M. Sacco
1   AOU Città della Salute e della Scienza, University of Turin, Division of Gastroenterology, Endoscopy Unit, Turin, Italy
,
F. Castellano
1   AOU Città della Salute e della Scienza, University of Turin, Division of Gastroenterology, Endoscopy Unit, Turin, Italy
,
A. Mauriello
1   AOU Città della Salute e della Scienza, University of Turin, Division of Gastroenterology, Endoscopy Unit, Turin, Italy
,
F. Fimiano
1   AOU Città della Salute e della Scienza, University of Turin, Division of Gastroenterology, Endoscopy Unit, Turin, Italy
,
F. Cravero
1   AOU Città della Salute e della Scienza, University of Turin, Division of Gastroenterology, Endoscopy Unit, Turin, Italy
,
C.G. De Angelis
1   AOU Città della Salute e della Scienza, University of Turin, Division of Gastroenterology, Endoscopy Unit, Turin, Italy
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The video presents a case of 47-year-old woman with a perirectal abscess (64 mm at MRI) in pyoderma gangrenosum, with symptomatic onset of fever and sacral pain. Blood test detected high serum level of WBC (18.000/mmc) and mild level of C-reactive protein (9 mg/dl). Endoscopic ultrasound-guided drainage of collection was planned.

During endoscopy a 15x15 mm LAMS was placed with a drainage of purulent material; two pigtail stents were located to reduce LAMS migration. After one month a protective colostomy was performed to enhance reabsorption and subsequently the LAMS was removed. The control MRI confirmed the complete reabsorption of collection.



Publication History

Article published online:
14 April 2022

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