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A fish bone-related hepatic abscess

Julien Jarry, Vien Nguyen, Adeline Stoltz, Marc Imperato, Philippe Michel
  • Vien Nguyen
    Department of Digestive Surgery, Desgenettes Hospital, Lyon, France
  • Adeline Stoltz
    Department of Digestive Surgery, Desgenettes Hospital, Lyon, France
  • Marc Imperato
    Department of Digestive Surgery, Desgenettes Hospital, Lyon, France
  • Philippe Michel
    Department of Digestive Surgery, Desgenettes Hospital, Lyon, France

Abstract

We report an unusual case of pyogenic, hepatic abscess caused by fish bone penetration of the duodenum in a 68-year-old woman. The fish bone had migrated into the liver through the duodenal wall. The patient was initially admitted to our emergency room with abdominal pain, fever, and asthenia. A contrastenhanced abdominal coputed tomography (CT) scan showed a hepatic abscess in relation with a straight, foreign body, which had entered through the duodenal wall. Surgery was necessary to remove the foreign body, which was identified as a fish bone. The patient’s recovery was uneventful and she was discharged on postoperative day 10. This case is discussed together with the data collected by a medline-based extensive review of the literature.

Keywords

hepatic abscess, duodenal perforation, foreign body.

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Submitted: 2011-10-05 19:51:23
Published: 2011-11-10 17:23:15
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Copyright (c) 2011 Julien Jarry, Vien Nguyen, Adeline Stoltz, Marc Imperato, Philippe Michel

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