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Percutaneous extraction of metallic foreign body from pyogenic liver abscess
Michael Basin1, Alexandra Dimmer1, Shogik Abramyan1
1SUNY Upstate Medical University, Syracuse, NY, USA.
Abstract:
We report a case of a 35-year-old male who developed a pyogenic liver abscess (PLA) secondary to a foreign body that migrated from the transverse colon into the liver. The mainstay of treatment of PLA requires removal of the foreign body, most frequently performed surgically. Few case reports exist of percutaneous removal. As our patient was hemodynamically stable at time of presentation, he underwent successful percutaneous transhepatic removal of the foreign body, avoiding any need for surgical operation.
Insights
A migrated foreign body caused a pyogenic liver abscess (PLA) in a 35-year-old male. Percutaneous removal of the foreign body successfully treated the PLA, avoiding surgery.
Area of Science:
- Gastroenterology
- Hepatology
- Interventional Radiology
Background:
- Pyogenic liver abscess (PLA) is a serious condition often requiring surgical intervention.
- Foreign body migration from the colon to the liver is a rare cause of PLA.
- Treatment typically involves surgical removal of the causative foreign body.
Observation:
- A 35-year-old male presented with a PLA.
- Imaging revealed a foreign body originating from the transverse colon within the liver.
- The patient was hemodynamically stable at presentation.
Findings:
- Successful percutaneous transhepatic removal of the migrated foreign body was achieved.
- This minimally invasive approach avoided the need for surgical operation.
- The patient's PLA was treated effectively without surgical complications.
Implications:
- Percutaneous foreign body removal is a viable alternative to surgery for select PLA cases.
- This case highlights the importance of considering foreign body migration in PLA etiology.
- Minimally invasive techniques can offer safe and effective treatment options for complex liver abscesses.
