EUS-guided splenic abscess drainage using lumen apposing metal stent

摘要

A 44-year-old male presented with abdominal pain and fever. He experienced an attack of post endoscopic retrograde cholangiopancreatography necrotizing pancreatitis with pancreatic fluid collection that was drained by percutaneous approach with significant improvement of his condition and the inserted 12 F pig-tail catheter was removed after 3 weeks. Two months later, he experienced similar abdominal pain, computed tomography (CT) of the abdomen revealed complex splenic collection with soft-tissue stranding and fluid tracking throughout the abdomen.