An uncommon liver abscess secondary to an ingested foreign body: A case report.

Autor: Taieb AH; Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia., Chaouch MA; Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia., Kaouach A; Department of General Surgery, Sidi Bouzid Hospital, Sidi Bouzid, Tunisia., Ben Jabra S; Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia., Zayati M; Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia., Gafsi B; Department of Intensive Care, Monastir University Hospital, Monastir, Tunisia., Mili E; Department of Intensive Care, Monastir University Hospital, Monastir, Tunisia., Noomen F; Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia.
Jazyk: angličtina
Zdroj: IDCases [IDCases] 2024 Apr 01; Vol. 36, pp. e01934. Date of Electronic Publication: 2024 Apr 01 (Print Publication: 2024).
DOI: 10.1016/j.idcr.2024.e01934
Abstrakt: Introduction: This article discusses a case study involving a unique occurrence of a hepatic abscess caused by the presence of an ingested foreign body. Hepatic abscesses, characterized by pus accumulation within liver tissue, often result from various infections, with some cases having unidentified origins.
Case Presentation: This study focuses on a 75-year-old man who presented at an emergency department with persistent pain in the right upper abdomen and fever for ten days. Diagnostic tests revealed a low-density, multiloculated mass in the liver and a hyperdense linear structure near the duodenum, indicating a hepatic abscess originating from duodenal perforation due to a foreign body that had migrated from ingestion. The patient underwent antibiotic treatment and a surgical procedure involving laparotomy to extract the foreign object and drain the abscess.
Conclusion: this case study underscores the rare occurrence of hepatic abscesses caused by ingested foreign bodies. Swift and accurate diagnosis, along with appropriate treatment involving foreign body removal and abscess drainage, are pivotal for favorable patient outcomes. The choice of treatment strategy impacts hospital stay duration, and understanding potential complications from foreign body ingestion enhances patient management and care.
Competing Interests: No conflict of interest to disclose.
(© 2024 The Authors.)
Databáze: MEDLINE