title: Hepatic abscess in the Spiegel lobe caused by foreign body penetration: report of a case report.
abstract: A 69-year-old male patient visited our hospital because of a continuous low-grade fever and right back pain since 2 weeks. Enhanced computed tomography (CT) of his abdomen revealed a mass with ring enhancement (35 × 30 mm) in the Spiegel lobe as well as a needle-like foreign body. Because conservative treatment by fasting and administration of antibiotics was unsuccessful, the patient underwent emergency laparotomy for removal of the foreign body and drainage of the liver abscess. The patient made a satisfactory postoperative recovery without complications and was discharged on the eighth postoperative day. The foreign body was composed of both protein and calcium phosphate and was histologically diagnosed as matured bone. We herein report successful surgical treatment of a patient with a liver abscess in the Spiegel lobe caused by foreign body penetration.
authors.affiliation: Department of Digestive Surgery, Kawaguchi Municipal Medical Center, Saitama, Japan. sheetan@jikei.ac.jp.|Department of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi-Shinbashi, Minato-ku, Tokyo, 105-8461, Japan. sheetan@jikei.ac.jp.
authors.forename: Yuki
authors.initials: Y
authors.lastname: Fujiwara
authors.affiliation: Department of Digestive Surgery, Kawaguchi Municipal Medical Center, Saitama, Japan.
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Shiba
authors.affiliation: Department of Digestive Surgery, Kawaguchi Municipal Medical Center, Saitama, Japan.|Department of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi-Shinbashi, Minato-ku, Tokyo, 105-8461, Japan.
authors.forename: Yukio
authors.initials: Y
authors.lastname: Nakabayashi
authors.affiliation: Department of Digestive Surgery, Kawaguchi Municipal Medical Center, Saitama, Japan.|Department of Surgery, The Jikei University School of Medicine, 3-25-8, Nishi-Shinbashi, Minato-ku, Tokyo, 105-8461, Japan.
authors.forename: Masahiko
authors.initials: M
authors.lastname: Otsuka
authors.affiliation: Department of Digestive Surgery, Kawaguchi Municipal Medical Center, Saitama, Japan.
authors.forename: Katsuhiko
authors.initials: K
authors.lastname: Yanaga
keywords: Foreign body penetration; Liver abscess; Spiegel lobe