Liver abscess caused by the ingested foreign body without sign of gastrointestinal perforation: A case report
The ingested foreign body is a very unusual etiology of liver abscess. This clinical scenario is infrequently reported in the literature. A 66-year-old male patient presented to the hospital because of abdominal pain along with 7 days of right upper quadrant pain and intermittent low-grade fever. He...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2023-12-01
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| Series: | Radiology Case Reports |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1930043323006647 |
| _version_ | 1797653616388997120 |
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| author | Le Huu Nhat Minh, MD Luu Thi Kim Han, MD Nguyen Viet Hau, MD Nguyen Anh Kiet, MD Tang Tuan Phong, MD Nguyen Khanh Duong, MD Phan Thi Hoang Yen, MD Nguyen Xuan Vinh, MD Hien Quang Nguyen, MD Nguyen Quoc Khanh Le, PhD |
| author_facet | Le Huu Nhat Minh, MD Luu Thi Kim Han, MD Nguyen Viet Hau, MD Nguyen Anh Kiet, MD Tang Tuan Phong, MD Nguyen Khanh Duong, MD Phan Thi Hoang Yen, MD Nguyen Xuan Vinh, MD Hien Quang Nguyen, MD Nguyen Quoc Khanh Le, PhD |
| author_sort | Le Huu Nhat Minh, MD |
| collection | DOAJ |
| description | The ingested foreign body is a very unusual etiology of liver abscess. This clinical scenario is infrequently reported in the literature. A 66-year-old male patient presented to the hospital because of abdominal pain along with 7 days of right upper quadrant pain and intermittent low-grade fever. He was living in an epidemiological area of Fasciola infection. Physical examination showed right hypochondria tenderness without guarding or rebounding. Laboratory results were significant for leukocytosis, predominant neutrophils, and increased inflammatory markers. The liver function tests were within normal limits. Abdominal ultrasonography and CT scan were consistent with a hepatic abscess spread from segment 4B to segment 3. The patient was preliminarily diagnosed with a parasitic hepatic abscess. After management with fluid infusion and antibiotics, the patient was discharged in stable condition. Two weeks later, on the follow-up visit, the patient reported intermittent low-grade fever had persisted. After consulting the CT scan, an abnormal high-attenuation linear structure was identified inside the liver lesion, which is suspected of being a foreign body. Laparoscopic surgery was performed, and a fishbone was removed from the abscess cavity. Perforation was not found in the stomach, duodenum, or in the bowel. One week later, their condition was fully resolved. Liver abscess due to a foreign body should be suspected when a patient has radiology findings suggestive of an abscess, but the clinical presentation does not indicate the common etiologies. Meticulous observation on abdominal CT scans or ultrasonography can help with diagnosis and guide treatment. |
| first_indexed | 2024-03-11T16:47:09Z |
| format | Article |
| id | doaj.art-5443b922528d4b10a34600030619fe27 |
| institution | Directory Open Access Journal |
| issn | 1930-0433 |
| language | English |
| last_indexed | 2024-03-11T16:47:09Z |
| publishDate | 2023-12-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Radiology Case Reports |
| spelling | doaj.art-5443b922528d4b10a34600030619fe272023-10-22T04:48:49ZengElsevierRadiology Case Reports1930-04332023-12-01181244044408Liver abscess caused by the ingested foreign body without sign of gastrointestinal perforation: A case reportLe Huu Nhat Minh, MD0Luu Thi Kim Han, MD1Nguyen Viet Hau, MD2Nguyen Anh Kiet, MD3Tang Tuan Phong, MD4Nguyen Khanh Duong, MD5Phan Thi Hoang Yen, MD6Nguyen Xuan Vinh, MD7Hien Quang Nguyen, MD8Nguyen Quoc Khanh Le, PhD9International Ph.D. Program in Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan; AIBioMed Research Group, Taipei Medical University, Taipei 110, Taiwan; Research Center for Artificial Intelligence in Medicine, Taipei Medical University, Taipei 110, Taiwan; Emergency Department, University Medical Center, Ho Chi Minh City, VietnamEmergency Department, University Medical Center, Ho Chi Minh City, VietnamEmergency Department, University Medical Center, Ho Chi Minh City, Vietnam; Corresponding authors.Emergency Department, University Medical Center, Ho Chi Minh City, VietnamEmergency Department, University Medical Center, Ho Chi Minh City, VietnamEmergency Department, University Medical Center, Ho Chi Minh City, VietnamEmergency Department, University Medical Center, Ho Chi Minh City, VietnamEmergency Department, University Medical Center, Ho Chi Minh City, VietnamFaculty of Medicine, University of Medicine and Pharmacy, Ho Chi Minh City, Vietnam; Cardiovascular Research Department, Methodist Hospital, Merrillville, IN 46410, USAAIBioMed Research Group, Taipei Medical University, Taipei 110, Taiwan; Research Center for Artificial Intelligence in Medicine, Taipei Medical University, Taipei 110, Taiwan; Professional Master Program in Artificial Intelligence in Medicine, College of Medicine, Taipei Medical University, Taipei 110, Taiwan; Translational Imaging Research Center, Taipei Medical University Hospital, Taipei 110, Taiwan; Corresponding authors.The ingested foreign body is a very unusual etiology of liver abscess. This clinical scenario is infrequently reported in the literature. A 66-year-old male patient presented to the hospital because of abdominal pain along with 7 days of right upper quadrant pain and intermittent low-grade fever. He was living in an epidemiological area of Fasciola infection. Physical examination showed right hypochondria tenderness without guarding or rebounding. Laboratory results were significant for leukocytosis, predominant neutrophils, and increased inflammatory markers. The liver function tests were within normal limits. Abdominal ultrasonography and CT scan were consistent with a hepatic abscess spread from segment 4B to segment 3. The patient was preliminarily diagnosed with a parasitic hepatic abscess. After management with fluid infusion and antibiotics, the patient was discharged in stable condition. Two weeks later, on the follow-up visit, the patient reported intermittent low-grade fever had persisted. After consulting the CT scan, an abnormal high-attenuation linear structure was identified inside the liver lesion, which is suspected of being a foreign body. Laparoscopic surgery was performed, and a fishbone was removed from the abscess cavity. Perforation was not found in the stomach, duodenum, or in the bowel. One week later, their condition was fully resolved. Liver abscess due to a foreign body should be suspected when a patient has radiology findings suggestive of an abscess, but the clinical presentation does not indicate the common etiologies. Meticulous observation on abdominal CT scans or ultrasonography can help with diagnosis and guide treatment.http://www.sciencedirect.com/science/article/pii/S1930043323006647LiverAbscessIngestedForeign bodyCTRadiology |
| spellingShingle | Le Huu Nhat Minh, MD Luu Thi Kim Han, MD Nguyen Viet Hau, MD Nguyen Anh Kiet, MD Tang Tuan Phong, MD Nguyen Khanh Duong, MD Phan Thi Hoang Yen, MD Nguyen Xuan Vinh, MD Hien Quang Nguyen, MD Nguyen Quoc Khanh Le, PhD Liver abscess caused by the ingested foreign body without sign of gastrointestinal perforation: A case report Radiology Case Reports Liver Abscess Ingested Foreign body CT Radiology |
| title | Liver abscess caused by the ingested foreign body without sign of gastrointestinal perforation: A case report |
| title_full | Liver abscess caused by the ingested foreign body without sign of gastrointestinal perforation: A case report |
| title_fullStr | Liver abscess caused by the ingested foreign body without sign of gastrointestinal perforation: A case report |
| title_full_unstemmed | Liver abscess caused by the ingested foreign body without sign of gastrointestinal perforation: A case report |
| title_short | Liver abscess caused by the ingested foreign body without sign of gastrointestinal perforation: A case report |
| title_sort | liver abscess caused by the ingested foreign body without sign of gastrointestinal perforation a case report |
| topic | Liver Abscess Ingested Foreign body CT Radiology |
| url | http://www.sciencedirect.com/science/article/pii/S1930043323006647 |
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