Abstract
An 82-year-old woman with Alzheimer’s dementia was suffered from aspiration pneumonia, and admitted to our hospital. During her treatment, she was not able to eat enough. Therefore, total parenteral nutrition was performed. A catheter was inserted through her right femoral vein because it was difficult to insert the CV Catheter to any other sites. Seven days after the insertion, she had a fever. Cholangitis was suspected by blood chemical examination. However, MRCP showed a multilocular liver abscess. The abscess did not affect for antibiotics. The abscess became larger during this period by CT scan. Furthermore, the tip of the catheter was seemed in the abscess. Therefore, percutaneous transhepatic abscess drainage was performed. Contrast medium injection through the catheter showed communication between the catheter and the abscess. The catheter was left and was used as a “drainage tube.” A week after drainage, her body temperature was down and laboratory tests were improved. Then, we removed the CVC. Three weeks after the procedure, drainage tube was removed and the abscess was cured.
