Hepatic abscess induced by foreign body: Case report and literature review

doi:10.3748/wjg.v13.i9.1466

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World Journal of Gastroenterology

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1007-9327

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

Case Report

World J Gastroenterol. Mar 7, 2007; 13(9): 1466-1470
Published online Mar 7, 2007. doi: 10.3748/wjg.v13.i9.1466

Hepatic abscess induced by foreign body: Case report and literature review

Sofia A Santos, Sara CF Alberto, Elsa Cruz, Eduardo Pires, Tomás Figueira, Élia Coimbra, José Estevez, Mário Oliveira, Luís Novais, João R Deus

Sofia A Santos, Sara CF Alberto, Elsa Cruz, Eduardo Pires, João R Deus, Department of Gastroenterology, Fernando Fonseca Hospital, IC19, Amadora 2720-276, Portugal

Tomás Figueira, Élia Coimbra, Department of Radiology, Fernando Fonseca Hospital, IC19, Amadora 2720-276, Portugal

José Estevez, Department of Surgery, Fernando Fonseca Hospital, IC19, Amadora 2720-276, Portugal

Mário Oliveira, Department of Pathology, Fernando Fonseca Hospital, IC19, Amadora 2720-276, Portugal

Luís Novais, Center for the Study of Esophageal Diseases, Carnaxide, Portugal

Author contributions: All authors contributed equally to the work.

Correspondence to: Dr. Sofia A Santos, Department of Gastroenterology, Fernando Fonseca Hospital, Estrada Serra da Mira, N22, 3ºDTO 2700-786, Amadora, Portugal. sofiasantos_md@sapo.pt

Telephone: +351-965-628190

Received: June 3, 2006
Revised: September 5, 2006
Accepted: February 7, 2007
Published online: March 7, 2007

Abstract

Hepatic abscess due to perforation of the gastrointestinal tract caused by ingested foreign bodies is uncommon. Pre-operative diagnosis is difficult as patients are often unaware of the foreign body ingestion and symptoms and imagiology are usually non-specific. The authors report a case of 62-year-old woman who was admitted with fever and abdominal pain. Further investigation revealed hepatic abscess, without resolution despite antibiotic therapy. A liver abscess resulting from perforation and intra-hepatic migration of a bone coming from the pilorum was diagnosed by surgery. The literature concerning foreign body-induced perforation of the gastrointestinal tract complicated by liver abscess is reviewed.

Keywords: Liver abscess, Foreign body, Gastrointestinal perforation