Pyogenic Liver Abscess after Bile Duct Exploration Drained with Endoscopic Techniques

A PLA is a “pocket” of pus that forms in the liver in response to bacterial infection, amoebic infection. Trauma or a range of unknown cryptogenic causes. The morbid PLA patients more likely prone to suffer higher risk of development of sepsis or multiple organ failure due to greater insulin, diabetes, malignancy, antibiotic resistance, inadequate abscess drainage, and some surgeries such as bile duct exploration unless they get proper management [1]. PLAs in control is a stateof-the-art. Majority of PLAs could be drained by minimally invasive therapy including ultrasound-guided PTD [2], the others have to face surgical therapy [3,4]. However, PLAs after surgery is seldom reported, which will push surgeons into a “dilemma” situation when noninvasive therapy always failures to drain immature PLAs. Herein, we would like to present this case report to share our therapeutic experiences by endoscopic techniques for PLAs after surgery.