Endoscopic ultrasound-guided drainage of a fungal liver abscess using a lumen-apposing metal stent: case report and literature review

Rom J Intern Med. 2021 Mar 5;59(1):93-98. doi: 10.2478/rjim-2020-0035. Print 2021 Mar 1.

Abstract

Liver abscesses are rare entities for which percutaneous drainage is traditionally employed. The technique is simple, but associated with a significant rate of side effects and patient discomfort. We herein report a case of fungal left liver lobe abscess that was successfully treated by using EUS-guided drainage, with insertion of a large caliber lumen-apposing metal stent. The literature review we performed on the topic seems to favor, at least for abscess in the left and/or caudate liver lobes, EUS as compared to percutaneous drainage.

Keywords: drainage; endoscopic ultrasound; humans; liver abscess; lumen apposing metal stents.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Aged, 80 and over
  • Candida albicans
  • Candidiasis / surgery*
  • Drainage / methods*
  • Female
  • Humans
  • Liver Abscess / microbiology*
  • Liver Abscess / surgery*
  • Stents*
  • Ultrasonography, Interventional / methods*