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Pyogenic Liver Abscess Secondary to Foreign Body (Fish Bone) Treated by Laparoscopy: A Case Report

Renato G Bandeira-de-Mello1, Gabriel Bondar2, Eduardo Schneider1

  • 1Division of Internal Medicine, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.

Annals of Hepatology
|January 10, 2018
PubMed

Insights

A rare liver abscess caused by a fish bone perforating the stomach was successfully treated with laparoscopy. This case highlights the importance of considering foreign body ingestion in unexplained liver abscesses.

Area of Science:

  • Gastroenterology
  • Hepatology
  • Minimally Invasive Surgery

Background:

  • Liver abscesses are serious infections, often requiring drainage and antibiotics.
  • Perforation of the gastrointestinal tract by foreign bodies is a rare but potentially fatal cause of liver abscess.
  • Diagnosis can be challenging due to non-specific symptoms and low clinical suspicion.

Observation:

  • A patient presented with a liver abscess unresponsive to standard treatment.
  • Computed tomography and detailed patient history revealed a fish bone perforating the lesser gastric curvature.
  • The foreign body was successfully removed via laparoscopy.

Findings:

  • Laparoscopic foreign body extraction was performed without complications.
  • The patient recovered fully and is currently asymptomatic.
  • This represents the first reported case of successful laparoscopic treatment for a pyogenic liver abscess secondary to foreign body ingestion in South America.

Implications:

  • Clinicians should consider foreign body ingestion, particularly fish bones, in cases of pyogenic liver abscess unresponsive to conventional therapy.
  • Laparoscopy is a viable and effective minimally invasive option for removing gastrointestinal foreign bodies causing liver abscesses.
  • This case expands the understanding of rare causes of liver abscess and their surgical management.
Keywords:
Hepatic abscess. Foreign body penetration. Perforation. CT. Videolaparoscopy.

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