Journal: DEN Open
Article Title: Severe Bacteremia Caused by Clostridium butyricum Following Endoscopic Ultrasound‐Guided Peripancreatic Fluid Drainage for Walled‐off Necrosis: A Case Report
doi: 10.1002/deo2.70325
Figure Lengend Snippet: Emergency endoscopic ultrasound‐guided peripancreatic fluid drainage (EUS‐PFD) using a double pigtail plastic stent (DPPS; 7Fr × 7 cm, Through and Pass, Gadelius Medical, Tokyo, Japan) and an endoscopic nasobiliary drainage (ENBD) tube (6Fr, Flexima; Boston Scientific, Massachusetts, USA). (a) Convex array EUS image showing an encapsulated WON adjacent to the stomach wall. Real‐time EUS‐guided puncture of the necrotic cavity was safely performed using a 19‐gauge fine‐needle aspiration (FNA) needle under direct visualization. (b) Fluoroscopic image obtained after the placement of two guidewires. The first DPPS (7Fr × 7 cm, Through and Pass) and ENBD tube (6Fr, Flexima) were successfully inserted for internal and external drainage. (c) Endoscopic image showing the deployment of the DPPS into the cyst cavity during the procedure.
Article Snippet: EUS‐PFD was reattempted using another DPPS (7Fr × 7 cm; Through and Pass, Gadelius Medical, Tokyo, Japan) and an endoscopic nasobiliary drainage tube for external drainage (6Fr, Flexima; Boston Scientific, Massachusetts, USA) (Figure ).
Techniques: