Experience of combination methods of local destruction in primary and metastatic liver cancer treatment

Abstract

normal. Ultrasound abdomen showed multiple gall stones. Patient underwent laparoscopic cholecystectomy and had uneventful recovery. On 10th post-operative day, patient presented with complaints of dull aching pain in the right hypochondrium on inspiration and vomiting. Patient had tenderness in right hypochondrium on abdomen examination. Ultrasound showed a liver abscess. Contrast enhanced computed tomogram abdomen revealed 13 Â 7 cm abscess in the right lobe of liver. Patient underwent ultrasound guided pig-tail drainage. 500 cc pus was drained. Culture showed E.coli. Patient was discharged with oral antibiotics. Pigtail catheter was removed after ultrasound abdomen showed no residual collection. Conclusion: Delayed complications after ERCP can occur in patients with choledocholithiasis with cholangitis. Careful evaluation of symptoms is required on follow-up.