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KMID : 0371320010600040456
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Journal of the Korean Surgical Society
2001 Volume.60 No. 4 p.456 ~ p.459
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Succesful Treatment of Multiseptated Liver Abscess by Percutaneous Drainage with Urokinase
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Kim Jun-Young
Han Seok-Joo
Hwang Eui-Ho
Han Ai-Ri
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Abstract
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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.
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KEYWORD
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Multiseptated liver abscess, Urokinase, Percutaneous drainage
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