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Migrated fish bone induced liver abscess: medical management
Moustafa Allam1, Stephanos Pericleous1
1Centre of HPB Surgery and Liver Transplantation, Royal Free Hospital, London, United Kingdom.
The Pan African Medical Journal
|August 28, 2020
Summary
A migrated fishbone caused a rare liver abscess. Successful medical treatment was achieved without removing the foreign body, challenging standard management protocols.
Area of Science:
- Gastroenterology
- Hepatology
- Infectious Diseases
Background:
- Liver abscesses are uncommon, particularly those caused by migrated ingested foreign bodies.
- Early diagnosis and prompt management are crucial for improving patient prognosis.
Observation:
- A patient presented with a liver abscess attributed to a migrated fishbone.
- The standard treatment involves abscess drainage and foreign body removal.
Findings:
- This case demonstrates successful medical management of a liver abscess caused by a migrated fishbone.
- The foreign body was intentionally left in situ, deviating from the conventional surgical approach.
Implications:
- This case suggests that medical management may be a viable option for select patients with liver abscesses from migrated foreign bodies.
- Further research is warranted to establish guidelines for non-surgical management in such cases.
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