Related Experiment Videos

Pyogenic hepatic abscess secondary to endolumenal perforation of an ingested foreign body

Wesley A Glick1, Kerri A Simo, Ryan Z Swan

  • 1Hepato-Pacreato-Biliary Surgery, Department of General Surgery, Carolinas Medical Center, 1025 Morehead Medical Drive, Suite 300, Charlotte, NC 28204, USA.

Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract
|October 13, 2011
PubMed
Abstract

Insights

Foreign body ingestion can cause pyogenic hepatic abscesses, complicating treatment. Diagnosis is often delayed until surgery, highlighting the need for increased awareness of this rare complication.

Area of Science:

  • Gastroenterology
  • Hepatology
  • Surgical Pathology

Background:

  • Pyogenic hepatic abscesses are increasingly associated with foreign body perforation of the gastrointestinal tract.
  • Treating pyogenic liver abscesses is challenging, further complicated by the presence of a foreign body.

Observation:

  • A case report details a patient with a pyogenic hepatic abscess resulting from an ingested toothpick perforating the duodenum.
  • A literature review was conducted on hepatic abscesses secondary to foreign body ingestion.

Findings:

  • Diagnosis of pyogenic hepatic abscesses from endolumenal foreign body perforation is frequently delayed until surgical intervention.
  • Common causes, diagnostic challenges, and treatment strategies for foreign body-induced hepatic abscesses were reviewed.

Implications:

  • Increased clinical suspicion for foreign body ingestion is crucial in patients presenting with pyogenic hepatic abscesses.
  • Early diagnosis and prompt management are essential for improved patient outcomes in these complex cases.

Related Concept Videos

Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Cholecystitis01:20

Cholecystitis

Cholecystitis is inflammation of the gallbladder, most commonly caused by obstruction of the cystic duct. This blockage prevents bile from draining, leading to gallbladder distension, inflammation, and potentially serious complications. This condition may present acutely or chronically and can happen with or without gallstones.EtiologyAbout 95% of cholecystitis cases are calculous, caused by gallstones blocking the cystic duct, leading to bile accumulation and inflammation of the gallbladder...
Brain Abscess l: Introduction01:26

Brain Abscess l: Introduction

A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial infections,...
Appendicitis01:19

Appendicitis

Appendicitis is an acute inflammatory condition of the vermiform appendix, most commonly caused by obstruction of its lumen. The appendix is a narrow, blind-ended pouch that extends from the cecum, making it particularly prone to obstruction. Causes include fecaliths, lymphoid hyperplasia (often after viral infections), parasites, tumors, or foreign bodies. This obstruction initiates a cascade of pathological changes.Luminal Obstruction and Early InflammationAfter obstruction, normal mucosal...
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...