Abstract

Liver abscess secondary to a migrated foreign body (fish bone) is a rare entity where early diagnosis helps in management and thereby improves the prognosis. We present a unique case of a 47-year-old hypertensive man who presented with high-grade fever, chills, rigors, and abdominal pain. On evaluation, he was found to have a liver abscess secondary to a foreign body (fish bone), although no history of foreign body ingestion was recalled by the patient. Drainage of liver abscess and removal of the foreign body comprise the treatment of choice. We report the successful management of a patient with liver abscess from a migrated fish bone. This case underscores the importance of considering foreign body ingestion as a potential cause of liver abscess, even when patients cannot recall such an event. Timely diagnosis and intervention, along with advances in imaging techniques, contribute to successful outcomes in these rare but challenging cases.

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