Pyogenic liver abscess: an unusual cause.

Abstract

A 60-year-old female patient was referred for a massive pyogenic liver abscess that had been initially treated with percutaneous drainage and antibiotics. CT-scan showed a foreign body in the hepatic pedicle, adjacent to the right portal vein: a fishbone. After 6 weeks of medical management with antibiotics, the foreign body was removed laparoscopically. The presence of a foreign body should be sought in cases of pyogenic liver abscess, especially if no other intra-abdominal cause has been found or if the abscess fails to resolve with medical treatment alone.

• Authors: A Dinnoo, L Barbier, O Soubrane
• Journal: Journal of visceral surgery (J Visc Surg) Vol. 152 Issue 1 Pg. 77-8 (Feb 2015) ISSN: 1878-7886 [Electronic] France
• PMID: 25662871 (Publication Type: Case Reports, Journal Article)
• Copyright: Copyright © 2015 Elsevier Masson SAS. All rights reserved.

Topics

• Female
• Foreign Bodies (complications, diagnostic imaging)
• Humans
• Liver Abscess, Pyogenic (diagnostic imaging, etiology)
• Middle Aged
• Tomography, X-Ray Computed