Hepatic abscess in the Spiegel lobe caused by foreign body penetration: report of a case report

Fujiwara, Yuki; Shiba, Hiroaki; Nakabayashi, Yukio; Otsuka, Masahiko; Yanaga, Katsuhiko

doi:10.1186/s40792-017-0297-z

Cited by 5 publications

(2 citation statements)

References 9 publications

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“…Hepatic abscess is characterized by rapid bacterial infection, obvious clinical symptoms, and many complications, which endanger the life safety of patients at all times. Due to the protective function of the greater omentum, however, more than 50% of patients with hepatic abscess caused by foreign body perforation present symptoms after more than 2 wk, delaying clinic visit, diagnosis, and treatment; as such, the mortality is also higher than that of patients with common hepatic abscess, which has been reported as 17.6%[ 5 ].…”

Section: Discussionmentioning

confidence: 99%

Hepatic abscess caused by esophageal foreign body misdiagnosed as cystadenocarcinoma by magnetic resonance imaging: A case report

Pan¹,

Lin²,

Meng³

et al. 2021

WJCC

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BACKGROUND Foreign bodies stuck in the throat and esophagus can be discharged through the digestive tract. Esophageal-lodged foreign bodies can cause secondary injury or detrimental response, with hepatic abscess being one such, albeit rare, outcome. Review and discussion of the few case reports on such instances will help to improve the overall understanding of such conditions and aid in differential diagnosis to improve patient outcome. CASE SUMMARY A 51-year-old female patient with pre-existing diabetes visited our hospital following a 15-d experience of chills and fever. Both plain and enhanced magnetic resonance imaging and color Doppler ultrasound examination of the liver and gallbladder revealed a space-occupying lesion in the caudate lobe of the liver (7.8 cm × 6.0 cm × 5.0 cm). Initially, a malignant tumor was suspected, but differential diagnosis was unable to exclude the possibility of hepatic abscess. Conservative anti-infection therapy produced a less than ideal outcome. Additional examination by hepatobiliary imaging with computed tomography suggested a foreign body present in the upper abdomen and hepatic abscess, and subsequent endoscopy revealed a sinus tract in the anterior wall of the duodenal bulb. Therefore, surgery was performed to remove the object (fishbone) and drain the abscess. After a 2-wk uneventful recovery, the patient was discharged. The final diagnosis was foreign body-induced hepatic abscess of the caudate lobe. CONCLUSION Differential diagnosis is important for hepatic masses, and systematic examination and physician awareness can aid in diagnosing and curing such rare conditions.

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Section: Discussionmentioning

confidence: 99%

Hepatic abscess caused by esophageal foreign body misdiagnosed as cystadenocarcinoma by magnetic resonance imaging: A case report

Pan¹,

Lin²,

Meng³

et al. 2021

WJCC

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“… 2 The right lobe of the liver can be affected by migration of a foreign body from the ascending colon. Fujiwara et al 9 reported a hepatic abscess in the Spiegel lobe by foreign body penetration.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Treatment of Hepatic Abscess Caused by an Ingested Foreign Body

Kim

Park

et al. 2019

J Minim Invasive Surg

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Pyogenic hepatic abscess caused by an ingested foreign body is extremely uncommon, and reports on the laparoscopic treatment for it are very rare. We report here on a case of hepatic abscess caused by an ingested chicken bone which was treated with a laparoscopic approach. A 61-year-old man visited an emergency room with the chief complaints of high fever. He was diagnosed with pyogenic liver abscess that contained a sharp calcified foreign body seen on a CT-scan. At first, percutaneous transhepatic drainage of the abscess was performed to achieve recovery of the patient's condition. Subsequent laparoscopic exploration found and removed the foreign body in the lesser sac. The foreign body turned out to be an ingested chicken bone. The patient was discharged on the 10th day after surgery.

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Liver abscess secondary to fishbone ingestion: case report and review of the literature

Shanti

Patel

2022

Journal of Surgical Case Reports

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We report a rare silent migration of a fishbone into the liver and review the relevant literature. A 56-year-old man presented with a 2-day history of dull epigastric pain and raised inflammatory markers. Computerized tomography scan revealed a 4-cm abscess in the left lobe of the liver, with a linear radio-dense foreign body within the collection. At laparoscopy the hepatogastric fistula was disconnected. The fishbone was retrieved from the liver. Gastrostomy was closed with an omental patch. The patient had an uneventful recovery. Fifty-two cases of liver abscess secondary to enterohepatic fishbone migration were reported with over two-thirds presenting with a left-lobe abscess. There was marked variability in the management of liver abscess in the setting of fishbone migration-summarized in table. We believe that laparoscopic drainage of the abscess and extraction of the foreign body offer control of the source of sepsis and diminishes recurrence, whilst having a low-risk profile.

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Hepatic abscess in the Spiegel lobe caused by foreign body penetration: report of a case report

Cited by 5 publications

References 9 publications

Hepatic abscess caused by esophageal foreign body misdiagnosed as cystadenocarcinoma by magnetic resonance imaging: A case report

Hepatic abscess caused by esophageal foreign body misdiagnosed as cystadenocarcinoma by magnetic resonance imaging: A case report

Laparoscopic Treatment of Hepatic Abscess Caused by an Ingested Foreign Body

Liver abscess secondary to fishbone ingestion: case report and review of the literature

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