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

• Autor(es): Santos, S ; Alberto, S ; Cruz, E ; Pires, E ; Figueira, T ; Coimbra, E ; Estevez, J ; Oliveira, M ; Novais, L ; Deus, JR
• Data: 2007
• Identificador Persistente: http://hdl.handle.net/10400.10/30
• Origem: Repositório do Hospital Prof. Doutor Fernando Fonseca
• Assunto(s): Abcesso hepático; Corpos estranhos
• Tipo de Documento: Artigo
• Idioma: Inglês

Descrição

Hepatic abscess due to perforation of the gastrointestinal tract caused by ingested foreign bodies is uncommon. Pre-operative diagnosis is diffi cult 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.