Tracking the foreign body, a rare cause of hepatic abscess.

Abstract:

BACKGROUND:Foreign body ingestion complicated by perforation of the digestive tract is a well-known occurrence. Contrary to this, perforation by fishbones has most often been described in South East Asian populations, and has the unusual characteristic of often being paucisymptomatic until secondary complications occur. CASE PRESENTATION:We report the case of a 56 year-old man of asian origin who presented with a liver abscess of unknown origin, complicated by septic shock with multiorgan failure. He was later found to have a fishbone impacted in the left lobe of the liver, which had perforated the stomach and gone by unnoticed until presentation. The fishbone was extracted through laparotomy and the abscess was drained. CONCLUSION:This report highlights a cause of liver abscesses which is likely underreported in Northern European populations and which, although rare in occurrence, should be part of our diagnostic algorithm of "cryptogenic abscesses" since surgical removal of the foreign object as drainage warrant definitive treatment.

journal_name

BMC Gastroenterol

journal_title

BMC gastroenterology

authors

Dangoisse C,Laterre PF

doi

10.1186/1471-230X-14-167

subject

Has Abstract

pub_date

2014-09-27 00:00:00

pages

167

issn

1471-230X

pii

1471-230X-14-167

journal_volume

14

pub_type

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