Liver Abscess Due to an Unusual Foreign Body: A Case Report

Pyogenic liver abscess (PLA) is an uncommon and potentially threatening condition. However, foreign body-induced PLA due to gastrointestinal perforation is very rare and challenging to diagnose, especially when there is no recalled history of ingestion and no signs of peritoneal irritation. Its management is still not standardised and can be very difficult, leading, in almost all cases, to surgery. We present the case of a 60-year-old patient with a PLA resistant to medical treatment. Further investigation revealed a radio-dense image in the left hemiliver. The patient underwent laparoscopic surgery and removal of a foreign object deemed to be a fishbone.