Endoscopic ultrasonography-guided drainage for tuberculous liver abscess drainage.
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Endoscopic ultrasonography-guided drainage for tuberculous liver abscess drainage. / Itoi, Takao; Ang, Tiing Leong; Seewald, Stefan; Tsuji, Shujiro; Kurihara, Toshio; Tanaka, Reina; Itokawa, Fumihide.
in: DIGEST ENDOSC, Jahrgang 23 Suppl 1, 2011, S. 158-161.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Endoscopic ultrasonography-guided drainage for tuberculous liver abscess drainage.
AU - Itoi, Takao
AU - Ang, Tiing Leong
AU - Seewald, Stefan
AU - Tsuji, Shujiro
AU - Kurihara, Toshio
AU - Tanaka, Reina
AU - Itokawa, Fumihide
PY - 2011
Y1 - 2011
N2 - Traditionally, either surgical or percutaneous drainage is recommended for liver abscess. Recently, several endoscopists have reported the endoscopic ultrasound (EUS)-guided liver abscess drainage. Herein, we report a case of tuberculous liver abscess in which endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) was useful for the diagnosis and therapy. A 78-year-old woman suffered from continuous epigastric pain and fever up. Computed tomography (CT) showed a 70 mm multilocular and multiseptate cystic lesion around the head of pancreas and caudate lobe of the liver. After confirming liver abscess by EUS-FNA, EUS-guided liver abscess drainage was carried out. Finally, a 7 Fr straight stent and a 5 Fr nasocystic catheter were inserted into the cyst. Four weeks later, we found that cultured microorganism obtained using drainage catheter was Mycobacterium tuberculosis. Although he was doing well during 5 days after the procedure, CT showed the size of another abscess increased. Then, additional EUS-guided abscess drainage was carried out at the body of the stomach into the abscess of the left lobe. Two weeks later, CT showed disappearance of abscesses. Then, she discharged with the internal stent still in place.
AB - Traditionally, either surgical or percutaneous drainage is recommended for liver abscess. Recently, several endoscopists have reported the endoscopic ultrasound (EUS)-guided liver abscess drainage. Herein, we report a case of tuberculous liver abscess in which endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) was useful for the diagnosis and therapy. A 78-year-old woman suffered from continuous epigastric pain and fever up. Computed tomography (CT) showed a 70 mm multilocular and multiseptate cystic lesion around the head of pancreas and caudate lobe of the liver. After confirming liver abscess by EUS-FNA, EUS-guided liver abscess drainage was carried out. Finally, a 7 Fr straight stent and a 5 Fr nasocystic catheter were inserted into the cyst. Four weeks later, we found that cultured microorganism obtained using drainage catheter was Mycobacterium tuberculosis. Although he was doing well during 5 days after the procedure, CT showed the size of another abscess increased. Then, additional EUS-guided abscess drainage was carried out at the body of the stomach into the abscess of the left lobe. Two weeks later, CT showed disappearance of abscesses. Then, she discharged with the internal stent still in place.
KW - Diagnosis, Differential
KW - Humans
KW - Male
KW - Aged
KW - Drainage/methods
KW - Endoscopy, Digestive System/methods
KW - Endosonography/methods
KW - Liver Abscess/surgery/ultrasonography
KW - Tuberculosis/surgery/ultrasonography
KW - Diagnosis, Differential
KW - Humans
KW - Male
KW - Aged
KW - Drainage/methods
KW - Endoscopy, Digestive System/methods
KW - Endosonography/methods
KW - Liver Abscess/surgery/ultrasonography
KW - Tuberculosis/surgery/ultrasonography
M3 - SCORING: Journal article
VL - 23 Suppl 1
SP - 158
EP - 161
JO - DIGEST ENDOSC
JF - DIGEST ENDOSC
SN - 0915-5635
ER -
