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Multifaceted approach to reduce duplicate therapy errors in the emergency department.

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Retained Foreign Body Causing a Liver Abscess.

Guek Gwee Sim1, Sujata Kirtikant Sheth1

  • 1Changi General Hospital, Singapore.

Case Reports in Emergency Medicine
|January 15, 2020
PubMed
Summary

A rare liver abscess caused by fishbone ingestion presented with vague symptoms. This case highlights diagnostic challenges and varied treatments, with successful discharge despite a retained fishbone.

Area of Science:

  • Gastroenterology
  • Hepatology
  • Radiology

Background:

  • Liver abscesses are uncommon, particularly those originating from ingested fishbones.
  • Such cases present diagnostic challenges in the Emergency Department setting.

Observation:

  • A middle-aged female presented with nonspecific symptoms.
  • Computed tomography revealed a liver abscess secondary to an ingested fishbone.

Findings:

  • The patient underwent conservative management, percutaneous drainage, and open drainage.
  • Successful hospital discharge was achieved with the fishbone retained in situ.

Implications:

  • This case underscores the diagnostic difficulties associated with fishbone-induced liver abscesses.

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  • It highlights the diverse treatment strategies employed for such rare conditions.
  • Successful outcomes are possible even with retained foreign bodies.