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经内镜超声引导下使用防反流黏膜支架治疗真菌性肝脓肿一例并文献复习

Endoscopic ultrasound-guided drainage of a fungal liver abscess using a lumen-apposing metal stent: case report and literature review.

机构信息

Digestive Endoscopy Unit, Gemelli Molise Hospital, Campobasso, Italy.

Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.

出版信息

Rom J Intern Med. 2021 Mar 5;59(1):93-98. doi: 10.2478/rjim-2020-0035. Print 2021 Mar 1.

Abstract

Liver abscesses are rare entities for which percutaneous drainage is traditionally employed. The technique is simple, but associated with a significant rate of side effects and patient discomfort. We herein report a case of fungal left liver lobe abscess that was successfully treated by using EUS-guided drainage, with insertion of a large caliber lumen-apposing metal stent. The literature review we performed on the topic seems to favor, at least for abscess in the left and/or caudate liver lobes, EUS as compared to percutaneous drainage.

摘要

肝脓肿是一种罕见的疾病,传统上采用经皮引流治疗。该技术简单,但伴有较高的副作用和患者不适发生率。本文报告了一例真菌性左肝叶脓肿病例,采用 EUS 引导下引流,置入大口径通道吻合金属支架成功治疗。我们对该主题进行的文献复习似乎表明,至少对于左叶和/或尾状叶的脓肿,EUS 优于经皮引流。

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