Endoscopic ultrasonography drainage and debridement of an infected subcapsular hepatic hematoma:A case report  

作　　者：Theo Doyon Thibault Maniere Étienne Désilets 

机构地区：[1]Facultéde Médecine et des Sciences de la Santé,Universitéde Sherbrooke,Sherbrooke J1H 7N4,Québec,Canada [2]Department of Gastroenterology,Hopital Charles-Lemoyne,Greenfield Park J4V 2H1,Québec,Canada

出　　处：《World Journal of Gastrointestinal Endoscopy》2022年第5期335-341,共7页世界胃肠内镜杂志（英文版）（电子版）

摘　　要：BACKGROUND Endoscopic ultrasonography(EUS)has evolved in the last years making it not only a diagnostic modality but a therapeutic procedure.EUS is now used as an alternative technique to percutaneous and surgical drainage.Even though EUS is a challenging procedure and not always suitable compared to percutaneous drainage,there is a need for developing new therapeutic approaches to the liver for when percutaneous drainage is not feasible.CASE SUMMARY We present the case of a 82 years old male who developed an infected subcapsular hepatic hematoma(SHH)of the left lobe following percutaneous biliary drainage.After 2 failed attempts of percutaneous drainage of the SHH and because the patients couldn’t withstand surgery,we conducted a EUS drainage and debridement of the SHH.Using a lumen apposing metal stent(LAMS)by a transgastric approach,we were able to gain endoscopic access to the SHH.With our experience in the debridement of walled off pancreatic necrosis using this technique,we were confident it was the right approach.After four debridement sessions,the computed tomography scan showed a clear regression of the SHH.CONCLUSION To our knowledge,this is the first case of successful endoscopic debridement of a SHH using a LAMS which appear to be feasible and safe in this specific case.

关 键 词：Intervention endoscopic ultrasonography COMPLICATION Hepatic subcapsular hematoma Transmural drainage Lumen apposing metal stent Case report 

分 类 号：R657.3[医药卫生—外科学]