Liver, abscess. Liver, interventional procedure. Urokinase.

51세/ 남자

1주일전부터 시작된 고열 및 우상복부 통증을 주소로 내원. 4년전 재발성 화농성담관염과 담낭 및 총수담관내 담석으로 담낭제거술 및 담도십이지장 문합술 시행.

백혈구수 증가, 총빌리루빈, SGOT/SGPT, Prothrombin time 증가

간농양

복부 초음파에서

a. CT scan shows a multiloculated liver abscess in right lobe b. Guidewire is inserted sufficiently into the abscess cavity c. Follow up CT scan after 10 days following percutaneous catheter drainage with adjunctive urokinase infusion shows resolution of multiloculated abscess

1. Johnson RD, Mueller PR, Ferrucci JT, et al. Percutaneous drainage of pyogenic liver abscess. AJR 1985; 144: 463-467 2. vanSonnenberg E, Ferrucci JT, Mueller PR, et al. Percutaneous radiographically guided catheter drainage of abdominal abscess. JAMA 1982; 249: 1901-1903 3. vanSonnenberg E, Mueller PR, Ferrucci JT. Percutaneous drainage of 450 abdominal abscesses and fluid collections. Radiology 1984; 151: 337-341 4. Cerofz SG, Johnson WC, Scraff H, et al. Expanded criteria for percutaneous abscess drainage. Arch Surg 1985; 120: 227-232 5. Moulton JS, Moore PT, Mencini RA. Treatment of loculated pleural effusion with intracavitary urokinase. AJR 1989; 153: 941-945 6. Lahrora JM, Haaga JR, Stellato T, et al. Safety ofintracavitary urokinase with percutaneous abscess drainage. AJR 1993; 160: 711-714 7. Kuligowska E, Connors SK, Shapiro JH. Liver abscess: sonography in diagnosis and treatment. AJR 1982; 138: 253-257 8. 오민철, 김윤환, 김정혁 등. 다방성 간농양의 경피적 카테터 배액술. 대한방사선의학회지 1994;30(5):811-815 9. Dunn DL, Simmons RL. Fibrin in peritonitis III: the mechanism of bacterial entrapment by polymerizing fibrin. Surgery 1982; 92: 513-519