Hepatic abscess induced by foreign body: case report and literature review.
Hepatic abscess due to perforation of the gastrointestinal tract caused by ingested foreign bodies is uncommon. Pre-operative diagnosis is difficult as patients are often unaware of the foreign body ingestion and symptoms and imagiology are usually non-specific. The authors report a case of 62-year-old woman who was admitted with fever and abdominal pain. Further investigation revealed hepatic abscess, without resolution despite antibiotic therapy. A liver abscess resulting from perforation and intra-hepatic migration of a bone coming from the pilorum was diagnosed by surgery. The literature concerning foreign body-induced perforation of the gastrointestinal tract complicated by liver abscess is reviewed.
Santos
Sofia A
SA
Department of Gastroenterology, Fernando Fonseca Hospital, Amadora 2720-276, Portugal. sofiasantos_md@sapo.pt
Alberto
Sara C F
SC
Cruz
Elsa
E
Pires
Eduardo
E
Figueira
Tomás
T
Coimbra
Elia
E
Estevez
José
J
Oliveira
Mário
M
Novais
Luís
L
Deus
João R
JR
D001842:Bone and Bones; D005260:Female; D005548:Foreign-Body Migration / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007416:Intestinal Perforation / Q000150:complications / Q000175:diagnosis / Q000209:etiology; D007813:Laparotomy; D008100:Liver Abscess / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology*; D008875:Middle Aged; D014057:Tomography, X-Ray Computed