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Case Reports
. 2022 Jun 10:10:2050313X221103357.
doi: 10.1177/2050313X221103357. eCollection 2022.

Hepatic abscess following foreign body perforation of the colon: A case report

Duminda Subasinghe  1   2 , Ravindri Jayasinghe  2 , Uditha Kodithuwakku  3 , Nilesh Fernandopulle  1   2
Affiliations
Case Reports

Hepatic abscess following foreign body perforation of the colon: A case report

Duminda Subasinghe et al. SAGE Open Med Case Rep. .

Abstract

Liver abscess following foreign body perforation of the gastrointestinal tract is uncommon. Preoperative diagnosis is challenging as the ingestion of foreign body most often goes unnoticed with non-specific presentation. We report a case of a 68-year-old male patient presenting with abdominal pain and anorexia. His investigations and cross-sectional imaging revealed a liver abscess. A colonoscopy performed to find an etiology revealed an incidental finding of a colonic perforation from an impacted denture, which was successfully removed endoscopically. Therefore, pyogenic liver abscesses remain a therapeutic challenge despite advances in imaging and therapy. The case reflects the importance of investigating for etiology of unexplained liver abscesses. The patient made an uneventful recovery following abscess drainage by image-guided pigtail stent insertion. The colonic perforation was managed conservatively.

Keywords: Hepatic abscess; colonic perforation; foreign body.

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Conflict of interest statement

Declaration of conflicting interests: The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Figures

Figure 1.
Figure 1.
CECT abdomen depicting pyogenic liver abscess.
Figure 2.
Figure 2.
CECT abdomen—Denture impacted in colon depicted by the pointer.
Figure 3.
Figure 3.
Endoscopic view of the perforating denture.
Figure 4.
Figure 4.
Endoscopic view of the denture in colon.
Figure 5.
Figure 5.
Removed denture.
See this image and copyright information in PMC

References

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