Migratory Toothpick Liver Abscess as A Rare Complication of Guts Foreign Body Penetration: A Case Report and Literature Review

遊走性異物造成腸胃道穿孔併發肝膿瘍：病例報告與文獻回顧

蔡諭奇(Yu-Chi Tsai) ； 黃健維(Chien-Wei Huang)

《內科學誌》 33卷1期 (2022/02) Pp. 64-69

https://doi.org/10.6314/JIMT.202202_33(1).07

摘要

Migratory foreign body liver abscess is a rare presentation of all cases of guts ingestion of foreign bodies. Different pathogenic mechanisms make it unique among the general population of liver abscess. Fever and abdominal pain are typical reported symptoms; however, most patients cannot remember the ingestion event. Foreign body removal and adequate infection control are the fundamental treatments. We report a case of migratory foreign body liver abscess which was successfully cured by endoscopic removal of a toothpick in the stomach.

關鍵字

Liver abscess ； Foreign body ； Toothpick

並列摘要

遊走性異物造成的肝膿瘍是所有腸胃道異物中的罕見病例表現。由於具不同的發病機制，使此一類型之肝膿瘍不同於一般肝膿瘍之族群。發燒和腹痛是典型的報告症狀，然而，大多數患者並不記得異物攝入事件。移除異物和充分控制感染是治療的根本辦法。我們報導了一例遊走性異物造成之肝膿腫，而後經內視鏡移除胃內牙籤並成功治癒之案例。