Digestive Endoscopy Unit, Gemelli Molise Hospital, Campobasso, Italy.
Digestive Endoscopy Unit, Fondazione Policlinico Universitario A. Gemelli IRCCS, Rome, Italy.
Rom J Intern Med. 2021 Mar 5;59(1):93-98. doi: 10.2478/rjim-2020-0035. Print 2021 Mar 1.
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.
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。
