A Rare Case of Delayed Perigastric Abscess after Curative Resection of Early Gastric Cancer by Uncomplicated Endoscopic Submucosal Dissection: Successful Treatment with Endoscopic Ultrasound-guided Drainage
| Autor: | Taiki Aoyama, Hiroki Takemoto, Kenjiro Shigita, Shinji Nagata, Naoki Asayama, Akira Fukumoto, Shinichi Mukai, Masanobu Yukutake |
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| Rok vydání: | 2020 |
| Předmět: |
Endoscopic ultrasound
Male medicine.medical_specialty Endoscopic Mucosal Resection endoscopic ultrasound-guided drainage Case Report Epigastric pain Stomach Neoplasms Internal Medicine Medicine Humans early gastric cancer perigastric abscess Abscess Ultrasonography Interventional Aged medicine.diagnostic_test business.industry General Medicine Perigastric medicine.disease Curvatures of the stomach Early Gastric Cancer Endoscopy Treatment Outcome Gastric Mucosa endoscopic submucosal dissection Drainage Radiology Complication business |
| Zdroj: | Internal Medicine |
| ISSN: | 1349-7235 |
| Popis: | A 72-year-old man had undergone uncomplicated endoscopic submucosal dissection (ESD) with en bloc resection of a localized 20-mm IIc lesion in the anterior wall of the gastric angle. Twenty-eight days later, he was re-admitted with epigastric pain of one-week duration. Contrast-enhanced computed tomography (CT) revealed a 60-mm mass bordered by viscera; repeat endoscopy confirmed a smooth elevated submucosal tumor at the greater curvature on the oral side of the post-ESD ulcer. We diagnosed him with a perigastric abscess as a complication of ESD and performed endoscopic ultrasound-guided drainage. Subsequently, the symptoms and blood inflammatory parameters improved, and follow-up CT showed the disappearance of the abscess. |
| Databáze: | OpenAIRE |
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