Year 2025 / Volume 117 / Number 11
Letter
Intraabdominal urokinase for the treatment of secondary bacterial peritonitis in cirrhosis

673-674

DOI: 10.17235/reed.2024.10661/2024

Flor M. Fernández-Gordón Sánchez, Celia Gómez Labrador, Carolina Georgiana Suárez Cabredo, Sandra Agudo Fernández, Daniel Riado Mínguez, Cristina Cuadrado Tiemblo, Antonio Hermosín Peña, Carlos Castaño Milla,

Abstract
Bacterial peritonitis with loculated ascites in patients with liver cirrhosis can be a therapeutic challenge. We present the case of a patient with liver cirrhosis undergoing pre-transplant evaluation, diagnosed with bacterial peritonitis secondary to urgent surgical intervention Imaging studies identified markedly loculated ascites, with a poor response despite broad-spectrum antibiotic therapy. The use of intraabdominal urokinase was a safe and effective adjuvant treatment for the resolution of this complication.
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References
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4 Tripon S, Mayer P, Svab A, et al. Intraabdominal urokinase in the treatment of loculated infected ascites in cirrhosis. Clin Res Hepatol Gastroenterol. 2021;45(2):101486.
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Fernández-Gordón Sánchez F, Gómez Labrador C, Suárez Cabredo C, Agudo Fernández S, Riado Mínguez D, Cuadrado Tiemblo C, et all. Intraabdominal urokinase for the treatment of secondary bacterial peritonitis in cirrhosis. 10661/2024


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Publication history

Received: 17/07/2024

Accepted: 30/07/2024

Online First: 05/09/2024

Published: 11/11/2025

Article Online First time: 50 days

Article editing time: 482 days


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