title: Percutaneous transhepatic drainage of lung abscess through a diaphragmatic fistula caused by a penetrating liver abscess.
abstract: Liver abscesses occurring just below the diaphragm can penetrate or perforate the thoracic cavity, resulting in lung abscess or pyothorax. Although surgical or percutaneous transpleural drainage is often required in such cases, the latter approach has some risks, including hemothorax and bronchopleural fistula formation when the cavity is surrounded by normal lung parenchyma. The present report describes a treatment technique of percutaneous transhepatic drainage through the diaphragmatic fistula to avoid the risks of a transpulmonary approach in a case of lung abscess caused by a penetrating liver abscess.
authors.affiliation: Department of Radiology, Tokyo Women's Medical University Medical Center East, 2-1-10 Nishiogu, Arakawa-ku, Tokyo 116-8567, Japan.
authors.forename: Masako
authors.initials: M
authors.lastname: Taniguchi
authors.forename: Satoru
authors.initials: S
authors.lastname: Morita
authors.forename: Eiko
authors.initials: E
authors.lastname: Ueno
authors.forename: Mitsutoshi
authors.initials: M
authors.lastname: Hayashi
authors.forename: Motonao
authors.initials: M
authors.lastname: Ishikawa
authors.forename: Masahiro
authors.initials: M
authors.lastname: Mae
mesh_terms: D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D003287:Contrast Media; D003937:Diagnosis, Differential; D004322:Drainage / Q000379:methods*; D005260:Female; D006801:Humans; D008100:Liver Abscess / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery*; D008169:Lung Abscess / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D018084:Ultrasonography, Interventional
chemical_list: D003287:Contrast Media