Endoscopic ultrasound-guided transgastric drainage of radiologically inaccessible left lobe liver abscess involving segment 4, caudate lobe, and left lateral segments using a modified technique

Chandra, Sharad; Chandra, Urvashi

doi:10.1055/a-1293-7746

Cited by 9 publications

(4 citation statements)

References 10 publications

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“…However, ethanol injection therapy is not recommended for liver cysts with biliary communication. [ 9 , 16 , 34 ] In our case, sclerotherapy using minocycline was ineffective. Therefore, EUS-guided ethanol injection was not performed.…”

Section: Discussionmentioning

confidence: 59%

Liver cyst with biliary communication treated with endoscopic ultrasound-guided drainage

et al. 2022

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Rationale: Simple liver cysts are common, and usually benign and asymptomatic, requiring little to no treatment. Liver cysts with biliary communication, however, are rare and require effective treatment to avoid recurrence.Patient concerns: A 70-year-old woman with breast cancer visited our hospital for treatment. Physical examination revealed abdominal distension and bilateral lower leg edema.Diagnosis: Abdominal contrast-enhanced computed tomography revealed a giant liver cyst, inducing inferior vena cava compression that was causing her edema.Interventions: Percutaneous transhepatic cyst drainage was performed. Since the bilirubin level in the drained fluid was high, the patient was diagnosed with a liver cyst with biliary communication. After the procedure, her symptoms improved and the cyst decreased in size. However, the drainage volume did not decrease after approximately 2 weeks. Sclerotherapy with minocycline was ineffective. Thus, endoscopic retrograde cholangiopancreatography was performed, and an endoscopic nasobiliary drainage tube was inserted. The percutaneous drainage tube was clamped, and the cyst showed increase in size. Therefore, endoscopic ultrasound-guided cyst drainage, which is less invasive than surgery, was performed.Outcomes: The cyst tended to decrease in size even after the percutaneous drainage tube had been removed. At 3 years followup, the cyst has almost disappeared.Lessons: Endoscopic ultrasound-guided drainage can treat liver cyst with biliary communication.

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Section: Discussionmentioning

confidence: 59%

Liver cyst with biliary communication treated with endoscopic ultrasound-guided drainage

et al. 2022

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“…Table 2 depicts the details of the included studies with type of stent, indication of EUS-guided drainage, size of caudate lobe abscess, etiology of abscess and complications of EUS-guided drainage. 4,[7][8][9][10][11][12][13][14][15] The details of excluded studies with reason of exclusion are shown in Supplementary Table 2, Supplemental Digital Content 1, http://links.lww.com/SLE/A407. 3,[16][17][18][19] Ten studies reported outcomes of EUS-guided drainage of caudate lobe abscess in 17 patients.…”

Section: Systematic Reviewmentioning

confidence: 99%

Endoscopic Ultrasound (EUS)-guided Drainage of Caudate Lobe Abscess: A Single Center Experience

Shah,

Jena,

Singh

et al. 2023

Surgical Laparoscopy, Endoscopy &Amp; Percutaneous Techniques

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Background: Liver abscess is usually treated with medical therapy. Few patients require drainage of the collection due to large size, certain high-risk location or rupture of the collection. Percutaneous drainage is most commonly used modality for the drainage of such collection. However, caudate lobe poses a unique difficulty in percutaneous drainage due to its deep location. Methods: We did a retrospective analysis of all patients with caudate lobe abscess who underwent endoscopic ultrasound (EUS)-guided drainage at our center. We reviewed their indications, technical and clinical success rates of the procedure from 2020 to 2023. We also performed systemic review of published literature till June 12, 2023 showing use of EUS-guided drainage of caudate lobe abscess. Results: Total of 8 patients (age: 37.33 ± 12.8 y; Males 62.5%) underwent EUS-guided drainage of caudate lobe collection at our center. Six patients underwent drainage using plastic stents, 1 patient underwent using metal stent, and 1 patient had aspiration of the abscess. Technical success was achieved in all patients. One patient succumbed to background illness and clinical success could be achieved in rest of the patients. In systemic review of literature on EUS-guided drainage of caudate lobe, a total of 10 studies (17 patients) were included. All patients achieved technical success. Majority studies reported use of plastic stents or naso-cystic drains whereas only 1 case reported use of metal stents. One procedure related complication (localized para-esophageal abscess) was reported requiring endoscopic intervention for management. Conclusion: EUS-guided drainage of caudate lobe abscess is safe and effective. It should be used as a first-line intervention after a failed medical management.

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“…Most are drained percutaneously, although 14 case reports and three retrospective studies have been published regarding EUS-guided drainage (Table 1). [4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] In these previous reports, the most common indication for EUS-guided liver abscess drainage was failed medical therapy and inability to drain the abscess percutaneously. Seewald et al 4 first described EUS-guided liver abscess drainage in 2005, reporting that the entire left lobe and most of the central segments of the liver were well visualized and accessible using this technique.…”

Section: Eus-guided Liver Abscess Drainagementioning

confidence: 99%

Endoscopic ultrasound-guided drainage for an abscess cavity

Okuno

Hara

Mizuno

et al. 2022

Int J Gastrointest Interv

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Endoscopic ultrasound (EUS)-guided interventions, including EUS-guided biliary drainage and EUS-guided cystic drainage, are now well developed and in widespread use. Intraperitoneal abscess requires drainage because mortality associated with an undrained abscess is high. Percutaneous or surgical drainage has traditionally been performed, but there have been numerous reports of EUS-guided drainage for intraperitoneal abscesses in recent years. EUS-guided abscess drainage has the advantage of being less invasive and enabling direct access to the cavity via the trans-luminal route as well as clear visualization of interposed vessels using color Doppler ultrasonography. It is necessary to consider the advantages and disadvantages when selecting a drainage method. This article reviews the current status of EUS-guided abscess drainage at three sites: the liver, pelvis, and mediastinum.

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Endoscopic ultrasound-guided transgastric drainage of radiologically inaccessible left lobe liver abscess involving segment 4, caudate lobe, and left lateral segments using a modified technique

Cited by 9 publications

References 10 publications

Liver cyst with biliary communication treated with endoscopic ultrasound-guided drainage

Liver cyst with biliary communication treated with endoscopic ultrasound-guided drainage

Endoscopic Ultrasound (EUS)-guided Drainage of Caudate Lobe Abscess: A Single Center Experience

Endoscopic ultrasound-guided drainage for an abscess cavity

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