title: A rooster's revenge: hepatic abscess caused by a chicken bone.
abstract: We present the case of a liver abscess caused by a swallowed chicken bone in an elderly man successfully treated with laparotomy. This report illustrates the difficulties of obtaining a preoperative diagnosis. The prolonged time course of the illness, the lack of history of the ingestion of a foreign body, the relatively non-specific symptoms and signs and the non-specific results obtained by conventional radiography resulted in a delayed recognition of this possibly fatal disease. This rare condition should be kept in mind when dealing with cases of hepatic abscess or even septic shock of unknown origin.
authors.affiliation: Department of Internal Medicine, Infectious Diseases Section, University Hospital, 26500 Rion, Patras, Greece. istarakis@yahoo.com
authors.forename: Ioannis
authors.initials: I
authors.lastname: Starakis
authors.forename: Dionysios
authors.initials: D
authors.lastname: Karavias
authors.forename: Markos
authors.initials: M
authors.lastname: Marangos
authors.forename: Eleni
authors.initials: E
authors.lastname: Psoni
authors.forename: Harry
authors.initials: H
authors.lastname: Bassaris
mesh_terms: D000368:Aged; D000818:Animals; D001842:Bone and Bones; D002645:Chickens; D004635:Emergency Medicine / Q000379:methods; D005547:Foreign Bodies / Q000150:complications* / Q000175:diagnosis* / Q000601:surgery; D006801:Humans; D007813:Laparotomy; D008099:Liver / Q000601:surgery; D008100:Liver Abscess / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D016896:Treatment Outcome