肝臓膿瘍を二次的に引き起こしたカクテルスティックの摂取:低侵襲管理の一例
Joseph A Attard1, Joseph H Mullineux2, Debasish Das3
1Department of Hepatobiliary and Pancreatic Surgery, University Hospitals of Leicester NHS Trust, Glenfield Hospital, Groby Road, LE3 9QP, Leicestershire, United Kingdom.
Abstract:
Liver abscess formation following foreign body ingestion is rare but may occur if the foreign body is lodged in the gastrointestinal tract and persists. Due to the rare nature of the condition, it can easily be missed at the index presentation. Furthermore, the limited number of cases described in the literature means there is no consensus on the optimal management of this condition. Initial treatment generally consists of antibiotics with or without percutaneous abscess drainage. However, referral to the regional hepatobiliary unit may also need to be considered to discuss surgical exploration and foreign body retrieval, especially if it is located within the liver parenchyma, to treat persistent sepsis or prevent abscess recurrence. We describe a case of foreign body detection in the left lobe of the liver on follow-up imaging after the index admission and subsequent elective surgical exploration and removal.
関連する概念動画
Prevention of Further Absorption of Poison
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
Appendicitis-II: Diagnostic Studies and Management
Diagnosing Appendicitis
It requires a multifaceted approach, starting with a detailed physical examination to pinpoint the location and nature of the pain and identify any associated symptoms. Laboratory tests play a crucial role. A complete Blood Count (CBC) typically reveals leukocytosis (an increased number of...
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:


