A fish bone-related hepatic abscess.
We report an unusual case of pyogenic, hepatic abscess caused by fish bone penetration of the duodenum in a 68-year-old woman. The fish bone had migrated into the liver through the duodenal wall. The patient was initially admitted to our emergency room with abdominal pain, fever, and asthenia. A contrastenhanced abdominal coputed tomography (CT) scan showed a hepatic abscess in relation with a straight, foreign body, which had entered through the duodenal wall. Surgery was necessary to remove the foreign body, which was identified as a fish bone. The patient's recovery was uneventful and she was discharged on postoperative day 10. This case is discussed together with the data collected by a medline-based extensive review of the literature.
Department of Digestive Surgery, Desgenettes Hospital, Lyon, France.
Julien
J
Jarry
Department of Digestive Surgery, Desgenettes Hospital, Lyon, France.
Vien
V
Nguyen
Department of Digestive Surgery, Desgenettes Hospital, Lyon, France.
Adeline
A
Stoltz
Department of Digestive Surgery, Desgenettes Hospital, Lyon, France.
Marc
M
Imperato
Department of Digestive Surgery, Desgenettes Hospital, Lyon, France.
Philippe
P
Michel
duodenal perforation; foreign body.; hepatic abscess