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On (b)(6) 2026, a 64 year old female patient with a history of colorectal cancer metastatic to the liver received histotripsy treatment to one lesion in hepatic segment ii was treated with two overlapping histotripsy planned treatment volumes (ptvs) for a total ptv of approximately 55.6 cc.Post-procedure imaging revealed left portal vein thrombus and left hepatic infarction.Anti-coagulation therapy was initiated, but no antibiotics were prescribed.On (b)(6), the patient was admitted for abscess involving the left hepatic lobe and a course of iv antibiotics was initiated.A drain was placed on (b)(6) and the patient was discharged on (b)(6).On (b)(6), the patient presented to the emergency department, ultimately resulting in admission.The patient subsequently underwent surgical resection on (b)(6) involving hepatic segments ii and iii to address the abscess.During surgery it was noted that the abscess extended to the abdominal wall.The patient was discharged on (b)(6) with continued home antibiotics and a new drain in place.On (b)(6), the patient had completed antibiotics, but the drain remained in place.Follow-up with infectious disease is scheduled for the week on (b)(6).
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