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Area of Science:

  • Gastroenterology
  • Hepatology
  • Infectious Diseases

Background:

  • Foreign body ingestion is common, but gastrointestinal perforation is rare.
  • Hepatic abscess formation following gastrointestinal perforation is exceptionally uncommon.

Observation:

  • Two cases of fish bone perforation of the gastrointestinal tract leading to hepatic perforation and abscess are presented.
  • Patients were from different age groups with varied presentations, but both developed septic shock.

Findings:

  • Diagnosis was delayed due to a lack of history of foreign body ingestion and non-specific clinical presentations.
  • Non-specific findings in complementary examinations also contributed to diagnostic delays.

Implications:

  • This rare complication highlights the importance of considering foreign body perforation even with atypical presentations.
  • Early diagnosis and prompt intervention are crucial for improving outcomes in cases of gastrointestinal perforation with hepatic abscess.