Ruptured hepatic abscess caused by fish bone penetration of the duodenal wall: report of a case.
Surg Today
; 37(11): 1018-21, 2007.
Article
em En
| MEDLINE
| ID: mdl-17952539
ABSTRACT
The accidental ingestion of a foreign body into the gastrointestinal tract is not uncommon; however, the development of a hepatic abscess secondary to foreign body perforation is extremely rare. We report the case of a ruptured hepatic abscess caused by fish bone penetration of the duodenal bulb, resulting in generalized peritonitis. A 73-year-old man was admitted to our hospital with generalized abdominal pain and high fever. Computed tomography of the abdomen showed ascites and a heterogeneously enhanced mass with a less-dense center and a linear dense object. We diagnosed a ruptured hepatic abscess caused by a calcified foreign body, which was managed by peritoneal lavage, drainage of the hepatic abscess, and removal of the fish bone, followed by simple closure of the hepatoduodenal fistula. The patient's postoperative course was complicated by systemic inflammatory response syndrome, but he recovered eventually.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Migração de Corpo Estranho
/
Duodeno
/
Fígado
/
Abscesso Hepático
Tipo de estudo:
Diagnostic_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limite:
Aged
/
Animals
/
Humans
/
Male
Idioma:
En
Revista:
Surg Today
Ano de publicação:
2007
Tipo de documento:
Article
País de afiliação:
Japão