Zhang FL, Xu J, Jiang YH, Zhu YD, Wu QN, Shi Y, Zhan ZY, Wang H. Special stent for draining the abdominal abscess respectively from colon and duodenum: A case report. World J Clin Cases 2024; 12(19): 3931-3935 [PMID: 38994300 DOI: 10.12998/wjcc.v12.i19.3931]
Corresponding Author of This Article
Yuan-Dong Zhu, Doctor, Director, Professor, Department of Gastroenterology, Hangzhou Xixi Hospital, No. 2 Henbu Street, Xihu Direct, Hangzhou 310023, Zhejiang Province, China. zhuyuandong2022@163.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Case Report
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Clin Cases. Jul 6, 2024; 12(19): 3931-3935 Published online Jul 6, 2024. doi: 10.12998/wjcc.v12.i19.3931
Special stent for draining the abdominal abscess respectively from colon and duodenum: A case report
Fu-Long Zhang, Jing Xu, Yu-Hong Jiang, Yuan-Dong Zhu, Qian-Neng Wu, Yan Shi, Zong-Yuan Zhan, Hai Wang
Fu-Long Zhang, Yu-Hong Jiang, Yuan-Dong Zhu, Qian-Neng Wu, Yan Shi, Zong-Yuan Zhan, Hai Wang, Department of Gastroenterology, Hangzhou Xixi Hospital, Hangzhou 310023, Zhejiang Province, China
Jing Xu, Department of Hepatopathy, Hangzhou Xixi Hospital, Hangzhou 310023, Zhejiang Province, China
Author contributions: Zhang FL and Zhu YD designed the research study; Xu J, Jiang YH and Shi Y performed the research; Wu QN, Zhan ZY and Wang Hai analyzed the data and wrote the manuscript; all authors have read and approve the final manuscript.
Informed consent statement: Written informed consent was obtained from the patient for publication.
Conflict-of-interest statement: All authors declare that they have no competing interests.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yuan-Dong Zhu, Doctor, Director, Professor, Department of Gastroenterology, Hangzhou Xixi Hospital, No. 2 Henbu Street, Xihu Direct, Hangzhou 310023, Zhejiang Province, China. zhuyuandong2022@163.com
Received: February 20, 2024 Revised: April 22, 2024 Accepted: May 14, 2024 Published online: July 6, 2024 Processing time: 129 Days and 19.8 Hours
Abstract
BACKGROUND
Postoperative abdominal infections are an important and heterogeneous health challenge. Many samll abdominal abscesses are resolved with antibiotics, but larger or symptomatic abscesses may require procedural management.
CASE SUMMARY
A 65-year-old male patient who suffered operation for the left hepatocellular carcinoma eight months ago, came to our hospital with recurrent abdominal pain, vomit, and fever for one month. Abdominal computed tomography showed that a big low-density dumbbell-shaped mass among the liver and intestine. Colonoscopy showed a submucosal mass with a fistula at colon of liver region. Gastroscopy showed a big rupture on the submucosal mass at the descending duodenum and a fistula at the duodenal bulb. Under colonoscopy, the brown liquid and pus were drained from the mass with “special stent device”. Under gastroscopy, we closed the rupture of the mass with a loop and six clips for purse stitching at the descending duodenum, and the same method as colonoscopy was used to drain the brown liquid and pus from the mass. The symptom of abdominal pain, vomit and fever were relieved after the treatment.
CONCLUSION
The special stent device could be effectively for draining the abdominal abscess respectively from colon and duodenum.
Core Tip: Postoperative abdominal infections are an important and heterogeneous health challenge. Many samll abdominal abscesses are resolved with antibiotics, but larger or symptomatic abscesses may require procedural management. The special stent device could be effectively for draining the abdominal abscess respectively from colon and duodenum.
