Trans-Orbital EUS (with videos)

A 31-year-old male presented with acute cholecystitis and history of metastatic alveolar rhabdomyosarcoma. He previously underwent left orbital exenteration and facial radiation. Given the patient ’s malnutrition, he was deemed a non-surgical candidate. The patient chose to pursue EUS-guided gallbladder drainage. Due to radiation-induced trismus, he was not able to open his mouth more than 5mm. Bougie dilation of an existing gastrostomy was considered, however there was concern for poor hea ling and gastrostomy leak.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Source Type: research