Fishbone penetration leading to pyogenic liver abscess: A case report

Area of Science:

• Gastroenterology
• Hepatology
• Surgical Case Reports

Background:

• Pyogenic liver abscesses (PLAs) are uncommon complications of foreign body ingestion.
• Prompt diagnosis and intervention are crucial for managing PLAs.

Purpose of the Study:

• To report an unusual case of PLA caused by a fishbone.
• To illustrate effective diagnostic and therapeutic strategies for this rare condition.

Main Methods:

• High-resolution computed tomography (CT) with 3D reconstruction for diagnosis.
• Laparoscopic incision and drainage of the abscess.
• Simultaneous surgical removal of the ingested foreign body.

Main Results:

• Accurate diagnosis of PLA and fishbone foreign body was achieved using CT.
• Successful treatment involved minimally invasive laparoscopic surgery.
• Complete recovery of the patient after abscess drainage and foreign body removal.

Conclusions:

• Foreign body ingestion, such as fishbones, can lead to rare but severe complications like PLAs.
• Advanced imaging techniques like CT with 3D reconstruction are valuable for diagnosis.
• Laparoscopic approaches offer a safe and effective treatment option for PLAs with foreign bodies.