title: Hepatic abscess that formed secondary to fish bone and had a fistula with the ascending colon.
abstract: 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.
authors.affiliation: Department of Internal Medicine, Konyang University College of Medicine, 685 Gasoowon-dong Seo-gu, Daejeon, Korea.
authors.forename: Yong Moon
authors.initials: YM
authors.lastname: Kim
authors.forename: Tae Hee
authors.initials: TH
authors.lastname: Lee
authors.forename: Seung Hyun
authors.initials: SH
authors.lastname: Jung
authors.forename: Sun Moon
authors.initials: SM
authors.lastname: Kim
authors.forename: Euyi Hyeog
authors.initials: EH
authors.lastname: Im
authors.forename: Kyu Chan
authors.initials: KC
authors.lastname: Huh
authors.forename: Young Woo
authors.initials: YW
authors.lastname: Choi
authors.forename: Young Woo
authors.initials: YW
authors.lastname: Kang
mesh_terms: 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