Pyogenic Liver Abscess Caused by Endoscopic Nasobiliary Drainage Tube Migration

Choi, Hyeok Soo; Jung, Min Young; Choi, Bo Youn; Kim, Su Sun; Ahn, Sung Min; Seo, Seung In; Jung, Eun Ju; Lee, Jin Heon

Korean J Pancreas Biliary Tract > Volume 17(1):2012 > Article

Case Reports

The Korean Journal of Pancreas and Biliary Tract 2012;17(1):13-17.

내시경적 경비담즙배액관 전위로 인해 발생한 화농성 간농양 1예

최혁수, 정민영, 최보윤, 김수선, 안성민, 서승인, 정은주, 이진헌

한림대학교 의과대학 강동성심병원 내과학교실

Pyogenic Liver Abscess Caused by Endoscopic Nasobiliary Drainage Tube Migration

Hyeok Soo Choi, Min Young Jung, Bo Youn Choi, Su Sun Kim, Sung Min Ahn, Seung In Seo, Eun Ju Jung, Jin Heon Lee

Department of Internal Medicine, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea

ABSTRACT

The main cause of pyogenic liver abscess is crytogenic in most cases, followed by the infection of biliary tract and the spread of septic emboli from diverticulitis or appendicitis. But the occurrence of the disease as a procedure-related complication is rare, especially after endoscopic cholangiopancreatography (ERCP). We experienced a case with liver abscess caused by straight-type endoscopic retrograde nasobiliary drainage (ENBD) tube migration after removal of common bile duct muddy stones. The patient was treated with antibiotics without abscess drainage after change of ENBD tube with pigtail type.

Keywords: Liver abscess, Endoscopic nasobiliary drainage