Case Report
Copyright ©The Author(s) 2021. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 16, 2021; 9(23): 6781-6788
Published online Aug 16, 2021. doi: 10.12998/wjcc.v9.i23.6781
Hepatic abscess caused by esophageal foreign body misdiagnosed as cystadenocarcinoma by magnetic resonance imaging: A case report
Wei Pan, Li-Jing Lin, Ze-Wu Meng, Xin-Ran Cai, Yan-Ling Chen
Wei Pan, Ze-Wu Meng, Xin-Ran Cai, Yan-Ling Chen, Department of Hepatobiliary Surgery and Fujian Institute of Hepatobiliary Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, Fujian Province, China
Wei Pan, Ze-Wu Meng, Xin-Ran Cai, Yan-Ling Chen, Fujian Medical University Cancer Center, Fuzhou 350001, Fujian Province, China
Li-Jing Lin, Department of Endocrinology, Union Hospital, Fujian Institute of Endocrinology, Fujian Medical University Union Hospital, Fuzhou 350001, Fujian Province, China
Author contributions: Pan W and Lin LJ contributed equally to this manuscript; Pan W, Meng ZW, Cai XR, and Chen YL participated in the patient’s clinical management; Pan W performed the patient’s endoscopic examination and drafted the manuscript; Chen YL served as the attending physician in charge of the patient, was responsible for the literature review, and revised the article for important intellectual content; Lin LJ performed the histopathological analysis; Chen YL and Cai XR provided guidance for the case diagnosis.
Supported by National Natural Science Foundation of China, No. 81672468; and Startup Fund for Scientific Research, Fujian Medical University, No. 2018QH1031.
Informed consent statement: Informed written consent was obtained from the patient for publication of this report and any accompanying images.
Conflict-of-interest statement: Dr. Chen reports grants from National Natural Science Foundation of China and from Fujian Medical University, during the conduct of the study.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Yan-Ling Chen, MD, Chief Doctor, Professor, Surgeon, Department of Hepatobiliary Surgery and Fujian Institute of Hepatobiliary Surgery, Fujian Medical University Union Hospital, No. 29 Xinquan Road, Fuzhou 350001, Fujian Province, China. chenyanling@fjmu.edu.cn
Received: January 16, 2021
Peer-review started: January 16, 2021
First decision: May 5, 2021
Revised: May 11, 2021
Accepted: July 5, 2021
Article in press: July 5, 2021
Published online: August 16, 2021
Processing time: 201 Days and 11.9 Hours
Core Tip

Core Tip: Most foreign bodies that become lodged in the throat and esophagus can be discharged uneventfully through the digestive tract, but rare patients will suffer gastrointestinal perforation. We report here the case of an elderly woman whose hepatic abscess caused by transverse of an esophageal foreign body was misdiagnosed as cystadenocarcinoma. The magnetic resonance imaging diagnosis of malignant tumor was not supported by computed tomography and endoscopy findings. Ultimately, surgery and 2-wk anti-infective drug course resolved this case of foreign body-induced hepatic abscess of the caudate lobe. This case emphasizes the importance of differential diagnosis for hepatic masses.