title: Pyogenic hepatic abscess secondary to endolumenal perforation of an ingested foreign body.
abstract: BACKGROUND
  Pyogenic hepatic abscess induced by foreign body perforation of the gastrointestinal tract is an increasing phenomenon. Pyogenic liver abscess in itself is a challenge to treat without the complication of a foreign body.
  
  
  METHODS
  A case of a patient who developed a pyogenic hepatic abscess after unknown ingestion of a toothpick that subsequently perforated the duodenum is presented, and a literature review of pyogenic hepatic abscesses secondary to ingestion of foreign bodies and their causes, diagnosis, and treatment was performed.
  
  
  CONCLUSIONS
  Even with a thorough workup, often the diagnosis of a pyogenic hepatic abscess secondary to an endolumenal foreign body perforation is not obtained until the time of operation.
authors: Hepato-Pacreato-Biliary Surgery, Department of General Surgery, Carolinas Medical Center, 1025 Morehead Medical Drive, Suite 300, Charlotte, NC 28204, USA.
authors: Wesley A
authors: WA
authors: Glick
authors: Kerri A
authors: KA
authors: Simo
authors: Ryan Z
authors: RZ
authors: Swan
authors: David
authors: D
authors: Sindram
authors: David A
authors: DA
authors: Iannitti
authors: John B
authors: JB
authors: Martinie
mesh_terms: D004378:Duodenal Diseases / Q000209:etiology*; D005260:Female; D005547:Foreign Bodies / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D007416:Intestinal Perforation / Q000209:etiology*; D046290:Liver Abscess, Pyogenic / Q000209:etiology* / Q000601:surgery; D008875:Middle Aged