Succesful Treatment of Multiseptated Liver Abscess by Percutaneous Drainage with Urokinase.
- Author:
Jun Young KIM
1
;
Seok Joo HAN
;
Ai Ri HAN
;
Eui Ho HWANG
Author Information
1. Department of Surgery, Yonsei University College of Medicine, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Multiseptated liver abscess;
Urokinase;
Percutaneous drainage
- MeSH:
Abscess;
Catheters;
Child;
Drainage*;
Humans;
Liver Abscess*;
Liver*;
Mortality;
Rare Diseases;
Urokinase-Type Plasminogen Activator*
- From:Journal of the Korean Surgical Society
2001;60(4):456-459
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Liver abscess is a rare disease but shows a high mortality rate. The standard treatment is complete drainage of the abscess through surgery or insertion of a percutaneous catheter and proper antibiotic treatment. However, successful percutaneous drainage in a multiseptated abscess has several drawbacks, such as the necessity for inserting more than one catheter for proper drainage, a necessity for repetitive cathterization and moreover, the ultimate failure of effective drainage causing surgery to become inevitable. The authors used 80,000 IU urokinase three times per day over 5 days to lyse the fibrous septum in a 9-year-old child with multiseptated liver abscess. Catheter drainage with urokinase under radiologic intervention yielded successful a outcome in the treatment of a multiseptated liver abscess.
