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Liver abscess in the caudate lobe caused by a fishbone and treated by laparoscopy: a case report.
Xia, Feng; Zhu, Peng; Chen, Xiao-Ping; Zhang, Bi-Xiang; Zhang, Ming-Yu.
  • Xia F; Department of Hepatic Surgery, Hepatic Surgery Center, Institute of HBP Surgery, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, 1095, Jiefang Avenue, Wuhan, Hubei, China.
  • Zhu P; Department of Hepatic Surgery, Hepatic Surgery Center, Institute of HBP Surgery, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, 1095, Jiefang Avenue, Wuhan, Hubei, China. zpync@qq.com.
  • Chen XP; Department of Hepatic Surgery, Hepatic Surgery Center, Institute of HBP Surgery, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, 1095, Jiefang Avenue, Wuhan, Hubei, China.
  • Zhang BX; Department of Hepatic Surgery, Hepatic Surgery Center, Institute of HBP Surgery, Tongji Hospital of Tongji Medical College of Huazhong University of Science and Technology, 1095, Jiefang Avenue, Wuhan, Hubei, China.
  • Zhang MY; Department of Digestive Medical, Tongji Hospital of Tongji Medical College in Huazhong University of Science and Techology, Wuhan, Hubei, China.
BMC Surg ; 22(1): 6, 2022 Jan 08.
Article in English | MEDLINE | ID: covidwho-1639167
ABSTRACT

BACKGROUND:

Ingestion of fish bones leading to gastric perforation and inducing abscess formation in the caudate lobe of the liver is very rare. CASE PRESENTATION A 67-year-old man presented to our hospital with a 2-day history of subxiphoid pain. There were no specific symptoms other than pain. Laboratory tests showed only an increase in the number and percentage of neutrophils. Contrast-enhanced Computerized tomography (CT) of the abdomen showed two linear dense opacities in the gastric cardia, one of which penetrated the stomach and was adjacent to the caudate lobe of the liver, with inflammatory changes in the caudate lobe. We finally diagnosed his condition as a caudate lobe abscess secondary to intestinal perforation caused by a fishbone based on the history and imaging findings. The patient underwent 3D laparoscopic partial caudate lobectomy, incision and drainage of the liver abscess, and fishbone removal. The procedure was successful and we removed the fishbone from the liver. The patient was discharged on the 9th postoperative day without other complications.

CONCLUSIONS:

Liver abscess caused by foreign bodies requires multidisciplinary treatment. Especially when located in the caudate lobe, we must detect and remove the cause of the abscess as early as possible. Foreign bodies that perforate the gastrointestinal tract can penetrate to the liver and cause abscess formation, as in this case. When exploring the etiology of liver abscesses, we should investigate the general condition, including the whole gastrointestinal tract.
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Full text: Available Collection: International databases Database: MEDLINE Main subject: Foreign-Body Migration / Laparoscopy / Foreign Bodies / Liver Abscess Type of study: Case report / Diagnostic study / Etiology study / Prognostic study Topics: Long Covid Limits: Aged / Animals / Humans / Male Language: English Journal: BMC Surg Year: 2022 Document Type: Article Affiliation country: S12893-021-01457-z

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Full text: Available Collection: International databases Database: MEDLINE Main subject: Foreign-Body Migration / Laparoscopy / Foreign Bodies / Liver Abscess Type of study: Case report / Diagnostic study / Etiology study / Prognostic study Topics: Long Covid Limits: Aged / Animals / Humans / Male Language: English Journal: BMC Surg Year: 2022 Document Type: Article Affiliation country: S12893-021-01457-z