Transorbital endoscopic ultrasonography (with video)

A 31-year-old man presented with acute cholecystitis and a history of metastatic alveolar rhabdomyosarcoma. He had previously undergone left orbital exenteration and facial radiation. Given the patient ’s malnutrition, he was deemed a nonsurgical candidate. The patient chose to pursue EUS-guided gallbladder drainage. Owing to radiation-induced trismus, he was not able to open his mouth more than 5 mm. Bougie dilatation of an existing gastrostomy was considered; however, there was concern about poor healing and gastrostomy leak.
Source: Gastrointestinal Endoscopy - Category: Gastroenterology Authors: Tags: At the focal point Source Type: research