Fish Bone Penetration of the Duodenum: A Rare Cause of Liver Abscess

We present a case of an elderly patient who visited our emergency department owing to a pyogenic liver abscess. A linear calcified object extending from the stomach to the liver was found on images from a computed tomography scan. The patient underwent laparotomy and a retained fish bone and a hepat...

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Bibliographic Details
Main Authors: Ming-Hung Chen, Hung-Jung Lin, Ning Ping Foo, Kuo-Tai Chen
Format: Article
Language:English
Published: Taiwan Society of Geriatric Emergency and Critical Medicine (TSGECM) 2013-03-01
Series:International Journal of Gerontology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S1873959812000804
Description
Summary:We present a case of an elderly patient who visited our emergency department owing to a pyogenic liver abscess. A linear calcified object extending from the stomach to the liver was found on images from a computed tomography scan. The patient underwent laparotomy and a retained fish bone and a hepato-duodenal fistula were discovered during surgery. The bacteriological presentation of foreign-body-related liver abscesses are unique and most of the patients require surgical interventions to remove the foreign bodies. However, it is difficult to obtain a reliable history of accidentally swallowed foreign bodies. Physicians should exam the images carefully for any clues of retained foreign bodies in patients with pyogenic liver abscess.
ISSN:1873-9598