Tando
Online ISSN : 1883-6879
Print ISSN : 0914-0077
ISSN-L : 0914-0077
Case Reports
An infected liver cyst successfully treated with interventional approach: report of a case
Youhei MiyauchiHiroyuki YoshidomeSatoshi AnbiruTakanori ShimuraMasayuki Ohtsuka
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2018 Volume 32 Issue 4 Pages 782-787

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Abstract

69-year-old woman was hospitalized for fever and right hypochondralgia. An abdominal enhanced CT revealed infected liver cyst in the right liver. US-guided percutaneous catheter drainage (PTAD) was performed to regulate infection and DIC condition. Infected liver cyst was suspected to communicate with biliary tract of anterior branch, and ERCP was performed to confirm whether a communication with biliary tract exists. After confirmation, EBD tube was inserted to eliminate the communication. Both PTAD and EBD could regulate infection and DIC condition. She was discharged having insertion of both tubes. In outpatient, the tubes were exchanged to be placed in an appropriate position. Finally, both tubes were removed and she has been free from symptom for 6 months. An appropriate drainage of both external and endoscopic internal ways may be required to treat for an infected liver cyst communicated with biliary tract.

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© 2018 Japan Biliary Association
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