Guidewire‐assisted successful closure of mis‐punctured transverse colon during endoscopic ultrasound‐guided cyst drainage
Abstract Endoscopic ultrasound‐guided cyst drainage (EUS‐CD) was performed for walled‐off pancreatic necrosis. Computed tomography performed the next day showed that the tip of the external drainage tube was located in the transverse colon, confirming an accidental EUS‐CD‐associated complication of...
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| Format: | Article |
| Language: | English |
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Wiley
2025-04-01
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| Series: | DEN Open |
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| Online Access: | https://doi.org/10.1002/deo2.70112 |
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| author | Naoki Fujita Hideki Kamada Ryota Nakabayashi Takuma Yamashita Shima Mimura Hiroki Yamana Kiyoyuki Kobayashi Minoru Oshima Keiichi Okano Hideki Kobara |
| author_facet | Naoki Fujita Hideki Kamada Ryota Nakabayashi Takuma Yamashita Shima Mimura Hiroki Yamana Kiyoyuki Kobayashi Minoru Oshima Keiichi Okano Hideki Kobara |
| author_sort | Naoki Fujita |
| collection | DOAJ |
| description | Abstract Endoscopic ultrasound‐guided cyst drainage (EUS‐CD) was performed for walled‐off pancreatic necrosis. Computed tomography performed the next day showed that the tip of the external drainage tube was located in the transverse colon, confirming an accidental EUS‐CD‐associated complication of mis‐puncture. A colonoscopy was performed to confirm the puncture site, which was identified as a defect measuring 2 mm in diameter. The external drainage tube was removed immediately via a guidewire. We intentionally retained the guidewire as a landmark for the puncture site in the colon. The defect was approximated using an endoclip under full vision, with the guidewire covered with surrounding mucosa. After removing the guidewire smoothly, complete closure was achieved with additional endoclips. Four days later, EUS‐CD was successfully repeated, resulting in the resolution of the walled‐off pancreatic necrosis. This is the first known case in which an accidental puncture of the transverse colon occurred during EUS‐CD for walled‐off pancreatic necrosis, and guidewire‐guided clip closure of the colon contributed to troubleshooting. |
| format | Article |
| id | doaj-art-149ec49e9cd34b25add3396899d54a55 |
| institution | DOAJ |
| issn | 2692-4609 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | DEN Open |
| spelling | doaj-art-149ec49e9cd34b25add3396899d54a552025-08-20T03:13:50ZengWileyDEN Open2692-46092025-04-0151n/an/a10.1002/deo2.70112Guidewire‐assisted successful closure of mis‐punctured transverse colon during endoscopic ultrasound‐guided cyst drainageNaoki Fujita0Hideki Kamada1Ryota Nakabayashi2Takuma Yamashita3Shima Mimura4Hiroki Yamana5Kiyoyuki Kobayashi6Minoru Oshima7Keiichi Okano8Hideki Kobara9Department of Gastroenterology and Neurology Faculty of Medicine Kagawa University Kagawa JapanDepartment of Gastroenterology and Neurology Faculty of Medicine Kagawa University Kagawa JapanDepartment of Gastroenterology and Neurology Faculty of Medicine Kagawa University Kagawa JapanSanuki Municipal Hospital Kagawa JapanDepartment of Gastroenterology and Neurology Faculty of Medicine Kagawa University Kagawa JapanDepartment of Gastroenterology and Neurology Faculty of Medicine Kagawa University Kagawa JapanDivision of Innovative Medicine for Hepatobiliary and Pancreatology Faculty of Medicine, Kagawa University Kagawa JapanDepartment of Gastroenterological Surgery Faculty of Medicine, Kagawa University Kagawa JapanDepartment of Gastroenterological Surgery Faculty of Medicine, Kagawa University Kagawa JapanDepartment of Gastroenterology and Neurology Faculty of Medicine Kagawa University Kagawa JapanAbstract Endoscopic ultrasound‐guided cyst drainage (EUS‐CD) was performed for walled‐off pancreatic necrosis. Computed tomography performed the next day showed that the tip of the external drainage tube was located in the transverse colon, confirming an accidental EUS‐CD‐associated complication of mis‐puncture. A colonoscopy was performed to confirm the puncture site, which was identified as a defect measuring 2 mm in diameter. The external drainage tube was removed immediately via a guidewire. We intentionally retained the guidewire as a landmark for the puncture site in the colon. The defect was approximated using an endoclip under full vision, with the guidewire covered with surrounding mucosa. After removing the guidewire smoothly, complete closure was achieved with additional endoclips. Four days later, EUS‐CD was successfully repeated, resulting in the resolution of the walled‐off pancreatic necrosis. This is the first known case in which an accidental puncture of the transverse colon occurred during EUS‐CD for walled‐off pancreatic necrosis, and guidewire‐guided clip closure of the colon contributed to troubleshooting.https://doi.org/10.1002/deo2.70112complicationsdrainageendoscopic ultrasound‐guided fine needle aspirationpuncturestransverse colon |
| spellingShingle | Naoki Fujita Hideki Kamada Ryota Nakabayashi Takuma Yamashita Shima Mimura Hiroki Yamana Kiyoyuki Kobayashi Minoru Oshima Keiichi Okano Hideki Kobara Guidewire‐assisted successful closure of mis‐punctured transverse colon during endoscopic ultrasound‐guided cyst drainage DEN Open complications drainage endoscopic ultrasound‐guided fine needle aspiration punctures transverse colon |
| title | Guidewire‐assisted successful closure of mis‐punctured transverse colon during endoscopic ultrasound‐guided cyst drainage |
| title_full | Guidewire‐assisted successful closure of mis‐punctured transverse colon during endoscopic ultrasound‐guided cyst drainage |
| title_fullStr | Guidewire‐assisted successful closure of mis‐punctured transverse colon during endoscopic ultrasound‐guided cyst drainage |
| title_full_unstemmed | Guidewire‐assisted successful closure of mis‐punctured transverse colon during endoscopic ultrasound‐guided cyst drainage |
| title_short | Guidewire‐assisted successful closure of mis‐punctured transverse colon during endoscopic ultrasound‐guided cyst drainage |
| title_sort | guidewire assisted successful closure of mis punctured transverse colon during endoscopic ultrasound guided cyst drainage |
| topic | complications drainage endoscopic ultrasound‐guided fine needle aspiration punctures transverse colon |
| url | https://doi.org/10.1002/deo2.70112 |
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