Symptomatic hepatic cyst treated with endoscopic ultrasound-guided drainage and minocycline hydrochloride injection: a case report

被引：0

作者：

Hoshi, Kensuke ^{[1
]}

Okano, Naoki ^{[1
]}

Sato, Yoichiro ^{[1
]}

Iwata, Shuntaro ^{[1
]}

Kimura, Yusuke ^{[1
]}

Iwasaki, Susumu ^{[1
]}

Takuma, Kensuke ^{[1
]}

Igarashi, Yoshinori ^{[1
]}

Matsuda, Takahisa ^{[1
]}

机构：

[1] Toho Univ, Div Gastroenterol & Hepatol, Omori Med Ctr, 6-11-1,Omori Nishi,Ota Ku, Tokyo 1438541, Japan

来源：

CLINICAL JOURNAL OF GASTROENTEROLOGY | 2024年 / 17卷 / 06期

关键词：

Endoscopic ultrasound-guided drainage; Hepatic cyst; Minocycline hydrochloride; Percutaneous drainage;

D O I：

10.1007/s12328-024-02028-4

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

A 72 year-old male patient with a history of a hepatic cyst presented to our hospital with epigastric pain. The cyst had enlarged to approximately 130 mm and was diagnosed as a symptomatic hepatic cyst. Percutaneous cyst drainage was deemed challenging because of the risk of intestinal perforation; therefore, transgastric endoscopic ultrasound-guided hepatic cyst drainage was performed with external nasal cyst drainage. After cyst shrinkage was confirmed, minocycline hydrochloride was injected into the cyst through the nasal drainage tube, and the nasal cyst drainage was removed. Nine months after treatment, the cyst diameter markedly reduced to 12 mm on computed tomography, and the symptoms improved. In cases where surgery is complex or it is difficult to secure a percutaneous puncture line, endoscopic ultrasound-guided drainage and minocycline hydrochloride injection may be effective if a puncture route can be secured under endoscopic ultrasound.

引用

页码：1100 / 1105

页数：6

共 14 条

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