TRANSGASTRIC DRAINAGE OF PELVIC ABSCESS DUE TO ACUTE PANCREATITIS

We present two cases of transgastric drainage of abscesses in left iliac fossa after acute pancreatitis.

50-year-old male. WON 25 × 12 cm with extension to left anterior pararenal fascia. Transgastric drainage by LAMS and endoscopic necrosectomy was performed. A year later, patient presented abscess in left iliac fossa. Previous gastrostomy was indentified so guidwere was advanced to the collection, a plastic prothesis (8.5x20 cm) was leaved.

55-year-old male. Infected WON with pelvic extension and involvement of ureter. Transgastric drainage with LAMS and necrosectomy was performed. Under fluoroscopic and endoscopic control the fistulous trajectory was indentified. Guidewere and plastic prothesis was placed through LAMS.