Abstract
A case of hepatic abscess that developed secondary to a foreign body migration is reported herein. In most published cases, the diagnosis is done after failure of medical treatment or recurrence of the abscess. CT-scan findings may lead to an early diagnosis, like in this case. The patient was treated by percutaneous abscess drainage and adapted antibiotherapy. Because of remarkable co-morbid conditions, no removal surgery was performed. No recurrence of the abscess could be observed after eighteen months of follow up. Foreign body is a rare cause of liver abscess that may not be ignored by clinicians. Although removal surgery is the mainstay of its treatment, a medical approach could be attempted with efficacy.
Highlights
Perforation of the gastrointestinal tract caused by ingested foreign bodies is uncommon and secondary formation of hepatic abscess is even rarer but recognized as a cause of liver abscess treatment failure [1]
We report here a case of ingested foreign body that migrated to the left lobe of the liver
Seen that the foreign body was located in the segment 3 of the liver, its passage appears through the third duodenum
Summary
Perforation of the gastrointestinal tract caused by ingested foreign bodies is uncommon and secondary formation of hepatic abscess is even rarer but recognized as a cause of liver abscess treatment failure [1]. Most cases of liver abscesses caused by the migration of a foreign body are initially misdiagnosed as cryptogenic liver abscesses. We report here a case of ingested foreign body that migrated to the left lobe of the liver. She had significant medical history of obesity (body mass index at 33), arterial hypertension, insulindependent diabetes mellitus complicated with macro-angiopathy, myocardial infarction 5 years before and hypertrophic cardiopathy, severe sleep apnea syndrome, a biliary cyst located in the right liver and hypothyroidism.
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