Complications Associated With Intraperitoneal Fibrinolytic Therapy in Decompensated Cirrhosis Complicated by Infected Loculated Ascites.

IF 0.5 Q4 GASTROENTEROLOGY & HEPATOLOGY

ACG Case Reports Journal Pub Date : 2025-08-21 eCollection Date: 2025-08-01 DOI:10.14309/crj.0000000000001798

Madeleine Z Wong, Daniel Carris, Kacey Idouchi, Nimra Hameed, Viraj I Modi

引用次数: 0

Abstract

Spontaneous bacterial peritonitis complicated by loculated ascites is rare in cirrhosis and presents as a challenge for many clinicians. To this date, standardized treatment of loculated ascites in cirrhosis has not yet been established; however, a few cases successfully using intraperitoneal fibrinolytic therapy to break up loculations for better treatment penetration have been reported. We describe a case of unique complications from this novel treatment in a 59-year-old woman presenting with refractory spontaneous bacterial peritonitis due to loculated ascites. To our knowledge, complications of intraperitoneal fibrinolytic therapy in this setting have not been documented in literature.

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失代偿期肝硬化合并感染局部腹水的腹腔纤溶治疗相关并发症

自发性细菌性腹膜炎并发局部腹水在肝硬化中是罕见的，是许多临床医生面临的挑战。迄今为止，肝硬化局部腹水的标准化治疗尚未建立；然而，少数成功使用腹腔内纤溶治疗打破定位，以更好地治疗渗透的案例已被报道。我们描述了一个病例独特的并发症，从这种新的治疗在一个59岁的妇女提出难治性自发性细菌性腹膜炎，由于定位腹水。据我们所知，在这种情况下，腹腔内纤溶治疗的并发症还没有文献记载。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACG Case Reports Journal GASTROENTEROLOGY & HEPATOLOGY-

自引率

14.30%

发文量

170

审稿时长

12 weeks

期刊介绍： ACG Case Reports Journal is a peer-reviewed, open-access publication that provides GI and hepatology fellows, private practice clinicians, and other healthcare providers an opportunity to share interesting case reports with their peers and with leaders in the field. ACG Case Reports Journal publishes case reports, images, videos and letters to the editor in all topics of gastroenterology and hepatology, including: Biliary Colon Endoscopy Esophagus Functional Bowel Disorders Inflammatory Bowel Disease Liver Nutrition and Obesity Pancreas Pathology Pediatric Small Bowel Stomach.