EUS-guided drainage of bilomas: a new alternative?

EUS-guided transmural drainage of postoperative collections

“…However, the success rate at first attempt is only 65%. 3 EUS is the reference standard for treatment of pancreatic pseudocysts, but case reports have described a variety of drainage procedures involving hepatic, 4 subphrenic, 5 and pelvic abscesses 6 as well as bilomas 7 and infected gallbladders. 8 EUS has also been used successfully in drainage of peripancreatic fluid collections after distal pancreatectomy.…”

EUS-guided drainage of hepatic abscesses not accessible to percutaneous drainage (with videos)

“…[15][16][17][18][19][20][21][22][23][24][25][26][27] In the present study, we have provided a new indication of interventional EUS, including the first reported cases of EUS-guided drainage of hepatic abscesses in the caudate lobe not accessible to percutaneous drainage. There is a limitation on the general adaptation of EUSguided drainage for hepatic abscesses.…”

Successful endoscopic treatment of iatrogenic biloma as a complication of endosonography-guided hepaticogastrostomy: The first case report

“…This angulation prevented sudden leakage of bile, which might have led to the generalized bile peritonitis. EUS-guided drainage of the biloma and intra-abdominal fluid collection have been reported earlier only by Shami et al and Piraca et al 13,14 Both groups reported biloma drainage as a consequence of surgery, and these procedures were found to be feasible and safe. The technique we used in this case did not differ from those used for pancreatic pseudocyst drainage, and the clinical outcome was satisfactory.…”