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Hepatic abscess caused by foreign body ingestion: A case report
1Department of Ultrasound, Beijing Friendship Hospital Capital Medical University Beijing China.
Australasian Journal of Ultrasound in Medicine
|February 19, 2025
Summary
A secondary liver abscess in a patient was caused by a fish bone, a foodborne foreign body. Laparoscopic surgery was used for treatment, highlighting the importance of identifying underlying causes for liver abscess resolution.
Area of Science:
- Gastroenterology
- Hepatology
- Interventional Radiology
Background:
- Liver abscesses are common infections, often linked to immunosuppression.
- Secondary liver abscesses can result from foreign bodies, tumors, or appendicitis.
- Identifying the underlying cause is critical for effective treatment of secondary liver abscesses.
Purpose of the Study:
- To report a case of secondary liver abscess caused by a foodborne foreign body.
- To emphasize the diagnostic and therapeutic challenges of intrahepatic foreign bodies.
- To highlight the importance of a multidisciplinary approach in managing complex liver abscesses.
Main Methods:
- Interventional drainage of the liver abscess.
- Multidisciplinary consultation for diagnosis.
- Laparoscopic surgery for foreign body removal.
- Diagnostic imaging including ultrasound.
Main Results:
- An intrahepatic foreign body, identified as a 2.5 cm fish bone, was discovered after abscess drainage.
- The foreign body was determined to be of food origin.
- Laparoscopic surgery successfully treated the condition.
Conclusions:
- Secondary liver abscesses require aggressive treatment of the abscess and removal of the underlying cause.
- Thorough patient history and advanced imaging are crucial for diagnosing foreign body-induced liver abscesses.
- Ultrasonologists must consider foreign bodies as a potential cause of liver abscesses.
