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Septic Shock and Multiorgan Failure Related to Liver Abscess Caused by Fish Bone Penetration of Duodenal Wall
Md Atiquzzaman1, Injamam Ull Haque2, Md Motiul Islam1
1Department of Critical Care Medicine, Asgar Ali Hospital, Dhaka, Bangladesh.
Abstract:
We report an intriguing case of an 80-year-old male presented with high-grade fever and severe upper abdominal pain. An abdominal ultrasound indicated a deep-seated abscess in the Segment IV of liver. An elusive diagnosis was made after Contrast Enhanced Computed Tomography (CECT) scan of whole abdomen which disclosed a sharp, pointed fish bone accommodating between the distal part of gastric antrum and cavitary lesion of liver. In the operative room, an upper GI endoscopy revealed a healed duodenal ulcer. An explorative laparotomy was performed subsequently, and the perihepatic abscess cavity was drained along with the removal of fish bone about 3.15 cm in length from perihilar region without any damage to the adjoining structures. His management was centered around IV antibiotics, imaging, and subsequent surgical drainage. The gentleman made a good recovery.
Insights
A fish bone lodged in the liver caused a deep-seated abscess in an 80-year-old male. Surgical drainage and antibiotics successfully treated the liver abscess and removed the foreign body.
Area of Science:
- Gastroenterology
- Hepatology
- Surgical Case Report
Background:
- Foreign body ingestion, particularly fish bones, can lead to serious intra-abdominal complications.
- Liver abscesses present with non-specific symptoms, making diagnosis challenging.
- Perihilar abscesses require prompt diagnosis and management to prevent further complications.
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