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Treatment for resistant subphrenic abscess by combined intracavitary doxycycline and cyanoacrylate injection
We report the case of a male patient with resistant subphrenic abscess complicating radiofrequency ablation (RFA) of two left lobe hepatocellular carcinoma (HCCs). The causative organism was multidrug resistant Escherichia coli. Percutaneous pigtail drainage together with IV antibiotics failed to re...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Elsevier
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4294747/ https://www.ncbi.nlm.nih.gov/pubmed/25685508 http://dx.doi.org/10.1016/j.jare.2013.08.001 |
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author | Okasha, Hussein Mahmoud, Mohammed |
author_facet | Okasha, Hussein Mahmoud, Mohammed |
author_sort | Okasha, Hussein |
collection | PubMed |
description | We report the case of a male patient with resistant subphrenic abscess complicating radiofrequency ablation (RFA) of two left lobe hepatocellular carcinoma (HCCs). The causative organism was multidrug resistant Escherichia coli. Percutaneous pigtail drainage together with IV antibiotics failed to resolve the abscess which persisted for 4 months. Intracavitary doxycycline injection causes moderate reduction in the volume of the drained fluid. This was followed by percutaneous cyanoacrylate injection inside the abscess cavity and the fistulous tract which causes complete resolution of the abscess. |
format | Online Article Text |
id | pubmed-4294747 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Elsevier |
record_format | MEDLINE/PubMed |
spelling | pubmed-42947472015-02-14 Treatment for resistant subphrenic abscess by combined intracavitary doxycycline and cyanoacrylate injection Okasha, Hussein Mahmoud, Mohammed J Adv Res Case Report We report the case of a male patient with resistant subphrenic abscess complicating radiofrequency ablation (RFA) of two left lobe hepatocellular carcinoma (HCCs). The causative organism was multidrug resistant Escherichia coli. Percutaneous pigtail drainage together with IV antibiotics failed to resolve the abscess which persisted for 4 months. Intracavitary doxycycline injection causes moderate reduction in the volume of the drained fluid. This was followed by percutaneous cyanoacrylate injection inside the abscess cavity and the fistulous tract which causes complete resolution of the abscess. Elsevier 2014-05 2013-08-17 /pmc/articles/PMC4294747/ /pubmed/25685508 http://dx.doi.org/10.1016/j.jare.2013.08.001 Text en © 2013 Production and hosting by Elsevier B.V. http://creativecommons.org/licenses/by-nc-nd/3.0/ This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/3.0/). |
spellingShingle | Case Report Okasha, Hussein Mahmoud, Mohammed Treatment for resistant subphrenic abscess by combined intracavitary doxycycline and cyanoacrylate injection |
title | Treatment for resistant subphrenic abscess by combined intracavitary doxycycline and cyanoacrylate injection |
title_full | Treatment for resistant subphrenic abscess by combined intracavitary doxycycline and cyanoacrylate injection |
title_fullStr | Treatment for resistant subphrenic abscess by combined intracavitary doxycycline and cyanoacrylate injection |
title_full_unstemmed | Treatment for resistant subphrenic abscess by combined intracavitary doxycycline and cyanoacrylate injection |
title_short | Treatment for resistant subphrenic abscess by combined intracavitary doxycycline and cyanoacrylate injection |
title_sort | treatment for resistant subphrenic abscess by combined intracavitary doxycycline and cyanoacrylate injection |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4294747/ https://www.ncbi.nlm.nih.gov/pubmed/25685508 http://dx.doi.org/10.1016/j.jare.2013.08.001 |
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