Open Access
CC BY-NC-ND 4.0 · Endosc Int Open 2021; 09(01): E35-E40
DOI: 10.1055/a-1293-7746
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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

Authors

  • Sharad Chandra

    Department of Gastroenterology, Meghraj Memorial Hospital, Jhansi, Uttar Pradesh, India
  • Urvashi Chandra

    Department of Gastroenterology, Meghraj Memorial Hospital, Jhansi, Uttar Pradesh, India

Abstract

Liver abscess requiring drainage is conventionally managed by interventional radiology-guided percutaneous drainage (PCD). Radiologically inaccessible abscesses are managed with laparoscopic or open surgery, which carries high rates of morbidity and mortality.

EUS-guided transluminal liver abscess drainage is minimally invasive and can be an alternative approach for caudate lobe, segment 4, and left lateral segment abscesses. We report on three consecutive patients with radiologically inaccessible left lobe liver abscess involving the caudate lobe, segment 4, and lateral segment in whom EUS-guided transluminal drainage using a modified technique was successful.



Publication History

Received: 27 July 2020

Accepted: 30 September 2020

Article published online:
01 January 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commecial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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