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A rooster's revenge: hepatic abscess caused by a chicken bone
Ioannis Starakis1, Dionysios Karavias, Markos Marangos
1Department of Internal Medicine, Infectious Diseases Section, University Hospital, 26500 Rion, Patras, Greece. istarakis@yahoo.com
Abstract:
We present the case of a liver abscess caused by a swallowed chicken bone in an elderly man successfully treated with laparotomy. This report illustrates the difficulties of obtaining a preoperative diagnosis. The prolonged time course of the illness, the lack of history of the ingestion of a foreign body, the relatively non-specific symptoms and signs and the non-specific results obtained by conventional radiography resulted in a delayed recognition of this possibly fatal disease. This rare condition should be kept in mind when dealing with cases of hepatic abscess or even septic shock of unknown origin.
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