Copyright
©The Author(s) 2023. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Apr 26, 2023; 11(12): 2848-2854
Published online Apr 26, 2023. doi: 10.12998/wjcc.v11.i12.2848
Published online Apr 26, 2023. doi: 10.12998/wjcc.v11.i12.2848
Endoscopic ultrasound-guided transrectal drainage of a pelvic abscess after Hinchey II sigmoid colon diverticulitis: A case report
Jan Drnovšek, Department of Gastroenterology, University Medical Centre Ljubljana, Ljubljana 1000, Slovenia
Jan Drnovšek, Žan Čebron, Jan Grosek, Jurij Janež, Faculty of Medicine, University of Ljubljana, Ljubljana 1000, Slovenia
Žan Čebron, Jan Grosek, Jurij Janež, Department of Abdominal Surgery, University Medical Centre Ljubljana, Ljubljana 1000, Slovenia
Author contributions: Drnovšek J and Janež J conceived and designed the study; Čebron Ž contributed to the collection, analysis and interpretation of data; Čebron Ž and Drnovšek J drafted the manuscript; Grosek J and Janež J contributed to the critical revision; all authors issued final approval for the version to be submitted.
Informed consent statement: Our institution does not require ethical approval for publishing a case report. Written informed consent was obtained from the patient for the publication of this case report and accompanying images.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
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: Jurij Janež, MD, PhD, Assistant Professor, Surgeon, Surgical Oncologist, Department of Abdominal Surgery, University Medical Centre Ljubljana, No. 7 Zaloška cesta, Ljubljana 1000, Slovenia. jurij.janez@kclj.si
Received: January 24, 2023
Peer-review started: January 24, 2023
First decision: February 17, 2023
Revised: February 20, 2023
Accepted: March 24, 2023
Article in press: March 24, 2023
Published online: April 26, 2023
Peer-review started: January 24, 2023
First decision: February 17, 2023
Revised: February 20, 2023
Accepted: March 24, 2023
Article in press: March 24, 2023
Published online: April 26, 2023
Core Tip
Core Tip: The incidence of colonic diverticulosis and its complications is rising in developed countries. An abscess due to acute diverticulitis may be initially treated with antibiotics and/or percutaneous drainage and/or surgery. Since percutaneous drainage of an abscess is not always feasible, endoscopic ultrasound-guided transluminal drainage seems to be an effective minimally invasive alternative for well-encapsulated intra-abdominal abscesses lying in direct contact with the intestinal wall, which reduces the need for surgery and stoma formation in selected patients. However, given the limitations of the supporting evidence, the optimal treatment strategy should be determined on a case-by-case basis by a multidisciplinary team.