Hepatic abscess that formed secondary to fish bone and had a fistula with the ascending colon.
We present the case of a liver abscess that formed secondary to foreign bodies and formed a fistula the ascending colon and was successfully treated with percutaneous abscess drainage and colonoscopic removal of foreign bodies. A 64-year-old man presented with right upper and lower quadrant pain of 2 weeks' duration. Abdominal computed tomography was performed, demonstrating a single 3.5 x 1.9-cm abscess of the liver's right lobe and eccentric thickening of the colon wall at hepatic flexure. A percutaneous hepatic drainage catheter was placed under ultrasound guidance. Colonoscopic examination revealed multiple diverticula of the ascending colon and two 1.5-cm long fish bones at the ascending colon near the hepatic flexure. One end of each fish bone had impacted the edematous colonic mucosa and was surrounded by exudate polypoid inflammatory tissue. The fish bones were extracted with forceps. The patient was feeling well and was discharged after 12 days of treatment.
Kim
Yong Moon
YM
Department of Internal Medicine, Konyang University College of Medicine, 685 Gasoowon-dong Seo-gu, Daejeon, Korea.
Lee
Tae Hee
TH
Jung
Seung Hyun
SH
Kim
Sun Moon
SM
Im
Euyi Hyeog
EH
Huh
Kyu Chan
KC
Choi
Young Woo
YW
Kang
Young Woo
YW
D000818:Animals; D003106:Colon / Q000293:injuries*; D003108:Colonic Diseases / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D003113:Colonoscopy; D003937:Diagnosis, Differential; D004322:Drainage; D005399:Fishes; D005500:Follow-Up Studies; D005547:Foreign Bodies / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D006801:Humans; D007412:Intestinal Fistula / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008099:Liver / Q000293:injuries*; D008100:Liver Abscess / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014950:Wounds, Penetrating / Q000150:complications* / Q000175:diagnosis / Q000601:surgery