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

作     者：Theo Doyon Thibault Maniere Étienne Désilets 

作者机构：Facultéde Médecine et des Sciences de la SantéUniversitéde SherbrookeSherbrooke J1H 7N4QuébecCanada Department of GastroenterologyHopital Charles-LemoyneGreenfield Park J4V 2H1QuébecCanada 

出 版 物：《World Journal of Gastrointestinal Endoscopy》 (世界胃肠内镜杂志（英文版）（电子版）)

年 卷 期：2022年第14卷第5期

页      面：335-341页

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Intervention endoscopic ultrasonography Complication Hepatic subcapsular hematoma Transmural drainage Lumen apposing metal stent Case report 

摘      要：BACKGROUND Endoscopic ultrasonography(EUS)has evolved in the last years making it not only a diagnostic modality but a therapeutic *** is now used as an alternative technique to percutaneous and surgical *** 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 *** 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 *** 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 *** a lumen apposing metal stent(LAMS)by a transgastric approach,we were able to gain endoscopic access to the *** our experience in the debridement of walled off pancreatic necrosis using this technique,we were confident it was the right *** four debridement sessions,the computed tomography scan showed a clear regression of the *** 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.