A Case of Hepatosubphrenic Fistula Treated by Histoacryl(R) Injection by ERCP.
- Author:
Jae Hak KIM
1
;
So Hun KIM
;
Jun Yong PARK
;
Jie Hyun KIM
;
Seung Woo PARK
;
Se Joon LEE
;
Jun Pyo CHUNG
;
Si Young SONG
;
Jae Bock CHUNG
;
Jin Kyung KANG
Author Information
1. Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea. swoopark@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Hepatosubphrenic fistula;
Histoacryl(R);
ERCP
- MeSH:
Abscess;
Aneurysm;
Carcinoma, Hepatocellular;
Cholangiopancreatography, Endoscopic Retrograde*;
Drainage;
Fistula*;
Humans;
Infarction;
Liver;
Liver Abscess;
Liver Failure;
Liver Failure, Acute;
Nutritional Support;
Sepsis;
Subphrenic Abscess
- From:Korean Journal of Gastrointestinal Endoscopy
2002;25(4):237-241
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Acute hepatic failure, liver infarction, abscess, intrahepatic biloma, and multiple intrahepatic aneurysms could be complicated after transcatheter arterial embolization (TAE) in a patient with hepatocellular carcinoma. Conservative managements such as nutritional support and control of sepsis for gastrointestinal fistula have been recommended for the last few decades. Histoacryl(R) has been applied to treat gastrointestinal fistula. We report a case of liver abscess after TAE followed by hepatosubphrenic abscess in a patient with hepatocellular carcinoma. The fistula between liver abscess and subphrenic abscess was occluded with Histoacryl(R) injection by ERCP. Endoscopic nasobiliary drainage and percutaneous drainage were performed respectively. Both abscesses were treated, but the patient died of hepatic failure.
