Succesful Treatment of Multiseptated Liver Abscess by Percutaneous Drainage with Urokinase
김준영 ; 한석주 ; 한애리 ; 황의호
Journal of the Korean Surgical Society (대한외과학회지), Vol.60(4) : 456~459, 2001
Journal of the Korean Surgical Society (대한외과학회지)
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.