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Case Reports
. 2019 Jun 11:2019:9075198.
doi: 10.1155/2019/9075198. eCollection 2019.

Management of Fish Bone-Induced Liver Abscess with Foreign Body Left In Situ

Ryan Burkholder  1 , Hrishikesh Samant  2
Affiliations
Case Reports

Management of Fish Bone-Induced Liver Abscess with Foreign Body Left In Situ

Ryan Burkholder et al. Case Reports Hepatol. .

Abstract

Pyogenic liver abscess, having experienced an evolving pathogenesis over the years, still remains a serious problem with significant morbidity. Iatrogenic and ascending biliary infections are the most common known etiologies for hepatic abscess. Here we report an interesting case of an elderly lady admitted with abdominal pain due to a pyogenic liver abscess in the left liver lobe which was attributed to perforation by an ingested fish bone. The authors also reviewed literature for management for this rare case as there are no standard guidelines. Our patient was successfully treated with antibiotics and percutaneous drainage with foreign body left in situ.

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Figures

Figure 1
Figure 1
CT on admission illustrating hepatic abscess of left lobe with adjacent foreign body.
Figure 2
Figure 2
Transverse view indicating foreign body at the level of falciform fissure.
Figure 3
Figure 3
Follow-up CT sagittal view of abdomen at 7 weeks indicates marked improvement.
Figure 4
Figure 4
7-week follow-up imaging shows interval improvement of hepatic abscess without any migration of foreign body.
See this image and copyright information in PMC

References

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