Endoscopic ultrasonography (EUS)-guided cystogastrostomy with covered self-expandable metal stent (SEMS) for simple liver cyst or abscess

Symptomatic, simple liver cysts can be treated by surgical deroofing or by repeated aspiration with/or without alcohol instillation but relapse of the cyst with secondary infection is frequent. Similarly, biliary abscess is a life-threatening complication with urgent need of biliary and cyst decompression. EUS guided cystogastrostomy seems to be a safe technique for complete resolution of both disorders at least in the left lobe of liver. Case 1. A 84 years old female patient with multiorgan comorbidities (diabetes mellitus, hypertony, arteriosclerosis with coronary stenosis and ventricular extrasystole) present…