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Go With the Flow: Lumen-Apposing Metal Stent for Drainage of Duodenal Abscess

Year: 2026

Type: article

Abstract: Duodenal diverticula are common but rarely complicated by abscess formation. Standard management includes antibiotics, percutaneous drainage, or surgery when minimally invasive approaches fail. We report a 75-year-old woman with a 4.4 × 4.0 cm duodenal diverticular abscess refractory to antibiotics. Endoscopic ultrasound-guided drainage with an 8 × 8 mm lumen-apposing metal stent led to immediate pus evacuation and clinical resolution. This case illustrates the expanding role of lumen-apposing metal stents as a safe, minimally invasive option for complex duodenal abscesses when conventional approaches are not feasible.

Source: ACG Case Reports Journal

DOI: 10.14309/crj.0000000000001986

Authors: Varun Jain, Thomas Gonzales, Albert Ha, Shiva Rangwani, Sultan Mahmood

Institutions: University of Pittsburgh Medical Center, University of Pittsburgh

Language: English

Topic: Gallbladder and Bile Duct Disorders

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W7127618437

FWCI: 4.618

Cites: 9

Cited by: 1

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