TRANSGASTRIC ABSCESS DRAINAGE FOR LIVER ABSCESS WITH HEPATOGASTRIC FISTULA : A CASE REPORT

Abstract

A 60-year-old man suffered from fever and epigastric pain. Computed tomography (CT) showed a 10 cm multiseptated cystic mass with a bubble in the left lobe of the liver and a hepatogastric fistula. Upper gastrointestinal endoscopy showed an oval-shaped ulcer with pus at the antrum of the lesser curvature of the stomach. Endoscopic liver abscess drainage was performed. Subsequently, a nasal catheter and gastric catheter were inserted into the liver abscess for continued drainage. The procedure was completed without any complications. After 22 days, the patient was discharged with only the gastric catheter still in place. After 45 days, CT showed disappearance of the liver abscess, and the gastric catheter was removed.