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.
Highlights
We report an unusual case of pyogenic, hepatic abscess caused by fish bone penetration of the duodenum in a 68-year-old woman
The mass appeared to contain a straight, hyperdense image of about 3.5 cm in length, which was in contact with thickened duodenal wall (Figures 1 and 2)
The first case of hepatic abscess as a result of gastrointestinal tract perforation caused by a foreign body was published by Lambert in 1898.1 The reported incidence of foreign bodies perforation the gastrointestinal tract is
Summary
We report an unusual case of pyogenic, hepatic abscess caused by fish bone penetration of the duodenum in a 68-year-old woman. An abdominal palpation revealed a Murphy’s sign with tenderness in the epigastrium and right hypochondrium.
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