- 期刊
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Liver abscess secondary to the migration of a wooden skewer swallowed unintentionally: A case report
摘要
Introduction: The ingestion of a foreign body into the gastrointestinal tract is not uncommon. However, the development of a hepatic abscess secondary to a foreign body perforation is extremely rare. Preoperative diagnosis is difficult as patients are often unaware of the foreign body ingestion. We report hereby an unusual case of a hepatic abscess caused by wooden skewer penetration of duodenal bulb, resulting in localized peritonitis. Case Report: A 45-year-old male was admitted to our hospital with high grade fever which rapidly progressed to clinical sepsis. The patient needed to take some antipyretics for low-grade fever for past month. Abdominal computed tomography (CT) scan showed a liver abscess of 8 cm located in the left lobe of liver. No foreign body was identified at preoperative imaging. He underwent laparotomy. A liver abscess resulting from perforation and intrahepatic migration of a wooden skewer coming from the duodenum was diagnosed by surgery. The liver abscess and sepsis were controlled successfully with surgery and antibiotics. Conclusion: Surgery plays still a major role in the diagnosis and treatment of hepatic abscess caused by migrating foreign bodies in the gastrointestinal (GI) tract although ultrasonography (USG) and CT scan may detect the aetiological factor preoperatively in some cases. This unusual condition and the rarely ingested foreign body (wooden skewer) must be kept in mind when dealing with cases of hepatic abscess, or even sepsis of unknown origin.