A case of bladder and pelvic dead space inflammation successfully treated with endoscopic ultrasound drainage

Interventional endoscopic ultrasound (EUS) is effective not only for biopsy, but also for abscess drainage. We report the first use of EUS to drain inflammation of the bladder and pelvic dead space through the ileal conduit. EUS-guided drainage is effective in treating postoperative abscesses and sh...

Full description

Saved in:
Bibliographic Details
Published in:Clinical case reports 2023-10, Vol.11 (10), p.e8019-n/a
Main Authors: Hiyama, Kazuhiro, Kirino, Izumi, Fukui, Yasuo
Format: Article
Language:English
Subjects:
Abdomen
Abscesses
Biomarkers
Bladder
bladder dead space inflammation
Case Report
Chemotherapy
Dissection
endoscopic ultrasound‐guided drainage
Endoscopy
Fistula
Gastroenterology/Hepatology
Inflammation
Laparoscopy
Lymphatic system
Metastasis
Ostomy
pelvic dead space inflammation
Rectum
Transplantation
Ultrasonic imaging
Urine
Urogenital system
Urological surgery
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Interventional endoscopic ultrasound (EUS) is effective not only for biopsy, but also for abscess drainage. We report the first use of EUS to drain inflammation of the bladder and pelvic dead space through the ileal conduit. EUS-guided drainage is effective in treating postoperative abscesses and should be employed more routinely. The patient was a 77-year-old man with a vesicoureteral fistula. An ileal conduit was placed after abdominoperineal resection and partial bladder resection for local, postoperative recurrence of rectal cancer. During postoperative chemotherapy, the patient developed a high-grade fever and after a thorough examination, he was diagnosed with bladder and pelvic dead-space inflammation. All urine flowed through the ileal conduit, and it was assumed that secretions from the residual bladder and prostate gland had accumulated in the bladder and pelvic cavity, resulting in infection. A transcutaneous drain was inserted through the perineum and the infection was controlled, but it flared up again after the drain was removed. We concluded that long-term drainage was necessary and successfully controlled the infection by placing a plastic stent through the ileal conduit into the bladder and pelvic dead space under ultrasound endoscopy. This is the first report of ultrasound endoscopic drainage of an abscess through the ileal conduit.
ISSN:2050-0904
2050-0904
DOI:10.1002/ccr3.8019