title: Fish bone migration: an unusual cause of liver abscess.
abstract: Treating a pyogenic liver abscess is a therapeutic challenge when a patient presents with atypical symptoms. One of the rare causes of treatment failure of these abscesses is the unrecognised migration of a foreign body from the gastrointestinal tract. The authors describe a pyogenic liver abscess in a 45-year-old male who presented with a 10 day history of fever, and abdominal pain. A CT scan of the abdomen revealed a needle-like foreign body in the liver. At operation a 2.5 cm fish bone was extracted from the liver. Subsequently, his feverish symptoms disappeared, and he has remained well in the ensuing 3 month postoperative period. Fish bone-induced liver abscess is discussed in this brief report.
authors.affiliation: Gastroenterology and Hepatology Department, King Fahad Medical City, Riyadh, Saudi Arabia. ibrahimmasoodi@yahoo.co.in
authors.forename: Ibrahim
authors.initials: I
authors.lastname: Masoodi
authors.forename: Khalid
authors.initials: K
authors.lastname: Alsayari
authors.forename: Khalid
authors.initials: K
authors.lastname: Al Mohaimeed
authors.forename: Shameem
authors.initials: S
authors.lastname: Ahmad
authors.forename: Abdulla
authors.initials: A
authors.lastname: Almtawa
authors.forename: Ahmed
authors.initials: A
authors.lastname: Alomair
authors.forename: Adel
authors.initials: A
authors.lastname: Alqutub
authors.forename: Salman
authors.initials: S
authors.lastname: Khan
mesh_terms: D000818:Animals; D001842:Bone and Bones; D003937:Diagnosis, Differential; D005399:Fishes; D005548:Foreign-Body Migration / Q000150:complications* / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D046290:Liver Abscess, Pyogenic / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed