A rare case of massive hepatic abscess 6 years after ERCP due to retained biliary stent

A rare case of massive hepatic abscess 6 years after ERCP due to retained biliary stent

Backround:ERCP combined with the insertion of biliary endoprosthesis is considered a daily practice endoscopic intervention for the treatment of choledocholithiasis. Nevertheless, retained biliary stents for a prolonged period without follow up may cause serious complications. Case presentation:We p...

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Bibliographic Details
Published in:The Journal of Medical Investigation Vol. 70; no. 3.4; pp. 508 - 512
Main Authors: Gkionis, Ioannis G., Giakoumakis, Michail I., Tzartzalou, Ifigenia, Kavallaris, George, Nicolaou, Pinelopi, Vardas, Emmanouil, Laliotis, Aggelos
Format: Journal Article
Language:English
Published: The University of Tokushima Faculty of Medicine 2023
Subjects:
Case management
ERCP
Follow up
Pyogenic hepatic abscess
Stent
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Summary:Backround:ERCP combined with the insertion of biliary endoprosthesis is considered a daily practice endoscopic intervention for the treatment of choledocholithiasis. Nevertheless, retained biliary stents for a prolonged period without follow up may cause serious complications. Case presentation:We present the case of a 62-year-old man who was hospitalized with symptoms of vomiting, abdominal pain, fatigue and fever. Clinical examination and laboratory results were indicative of an intra abdominal infection. Ultrasound and CT scans were performed, identifying a 17x11.3x7.7 cm. The cause of this lesion was a retained stent in the common bile duct which was placed 6 years ago via endoscopic retrograde cholangiopancreatography. The patient did not attend his follow up appointments after his initial ERCP. Patient’s clinical status deteriorated, and an urgent ERCP was performed replacing the retained stent, followed by ultrasound-guided pigtail stent insertion into the hepatic abscess and administration of antibiotics intravenously. Patient’s clinical condition was improved and after two months of surveillance complete resolution of the hepatic abscess was achieved. Conclusion:The insertion of biliary stents is common endoscopic technique, but close follow up is of outmost importance. J. Med. Invest. 70 : 508-512, August, 2023
ISSN:1343-1420
1349-6867
DOI:10.2152/jmi.70.508