Background: Percutaneous drainage of the liver abscess may be difficult in caudate lobe abscess due to the
anatomical position. It is also associated with significant pain and few complications. Surgical management of
such abscesses is associated with morbidity. An alternative option is Endoscopic ultrasound guided aspiration or
drainage through stomach wall in view of anatomic proximity to the caudate lobe.
Methods: Five consecutive patients who presented with symptomatic caudate lobe liver abscess were selected
from 2015 till 2019. In all the five patients, percutaneous drainage was considered difficult by the interventional
Radiologist. In them, Endosonography guided aspiration/drainage was done through the gastric wall under
sedation.
Results: All the five patients had a successful clinical outcome with less pain following EUS guided abscess
drainage.
Conclusion: EUS guided aspiration or drainage of liver abscesses is feasible, less painful and a safe option in
patients where percutaneous drainage may be difficult