ArticleACG case reports journal2026
Endoscopic Ultrasound-Guided Transesophageal Drainage of a Posterior Mediastinal Abscess Secondary to Vertebral Osteomyelitis.
Article in ACG case reports journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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4 authors.
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Abstract
Mediastinal abscesses are life-threatening infections traditionally managed with surgical or percutaneous drainage. Endoscopic ultrasound (EUS)-guided drainage has emerged as a minimally invasive alternative for deep-seated collections, but experience with mediastinal abscesses remains limited. We present a case of successful EUS-guided transesophageal drainage of a posterior mediastinal abscess complicating vertebral osteomyelitis. A 50-year-old man with T3-T4 vertebral osteomyelitis and a posterior mediastinal abscess underwent EUS-guided drainage after percutaneous access was deemed unfeasible. A 19-gauge needle was used for aspiration, followed by guidewire placement and double-pigtail stent insertion. Technical success was achieved with placement of a 7-French × 4-cm double-pigtail stent. Blood and fluid cultures grew methicillin-sensitive
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