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Case Reports
. 2011 Nov 10;1(4):e115.
doi: 10.4081/cp.2011.e115. eCollection 2011 Sep 28.

A fish bone-related hepatic abscess

Julien Jarry  1 , Vien Nguyen  1 , Adeline Stoltz  1 , Marc Imperato  1 , Philippe Michel  1
Affiliations
Case Reports

A fish bone-related hepatic abscess

Julien Jarry et al. Clin Pract. .

Abstract

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.

Keywords: duodenal perforation; foreign body.; hepatic abscess.

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Figures

Figure 1
Figure 1
Abdominal computed tomography scan revealing the hepatic mass and the straight, hyperdense image, in contact with the thickened duodenal wall.
Figure 2
Figure 2
3D abdominal computed tomography scan reconstruction showing the straight, hyperdense image of about 3.5 cm in length in the right hypochondrium (encircled).
Figure 3
Figure 3
Operative view of the removed, foreign body (fish bone).
See this image and copyright information in PMC

References

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