抄録
A rare case of retrieval of a fractured guidewire in a liver abscess cavity through a percutaneous transhepatic route using biopsy forceps is reported. A woman in her 70s was admitted to our hospital with high fever and fatigue. Abdominal CT revealed abscesses in the left lobe of the liver, and percutaneous drainage was performed the next day. However, after two weeks of drainage and antibiotic therapy, the symptoms and abscesses were not much improved. During tract dilatation to insert a larger drainage tube, the soft tip of the stainless steel guidewire fractured and fell into the liver abscess cavity. After the accident, removal of the fractured guidewire was attempted. Endoscopic biopsy forceps were inserted through the percutaneous transhepatic drainage route, and the fractured guidewire was successfully removed under fluoroscopic guidance. After retrieval of the fractured guidewire and additional drainage, the patient became afebrile, and CT demonstrated that the abscess had disappeared.
