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Case Report
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| Liver abscess secondary to the migration of a wooden skewer swallowed unintentionally: A case report | ||||||
| Emel Ozveri1, Eser Vardareli2, Ozdal Ersoy2, Metin Ertem2, Nurdan Tozun2 | ||||||
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1Acibadem Kozyatagi Hospital-General Surgery Department-Istanbul-Turkey.
2Acibadem University Faculty of Medicine-Gastroenterology Department-Istanbul-Turkey. | ||||||
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| Ozveri E, Vardareli E, Ersoy O, Ertem M, Tozun N. Liver abscess secondary to the migration of a wooden skewer swallowed unintentionally: A case report. Int J Case Rep Images 2016;7(12):819–822. |
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Abstract
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Introduction:
The ingestion of a foreign body into the gastrointestinal tract is not uncommon. However, the development of a hepatic abscess secondary to a foreign body perforation is extremely rare. Preoperative diagnosis is difficult as patients are often unaware of the foreign body ingestion. We report hereby an unusual case of a hepatic abscess caused by wooden skewer penetration of duodenal bulb, resulting in localized peritonitis.
Case Report: A 45-year-old male was admitted to our hospital with high grade fever which rapidly progressed to clinical sepsis. The patient needed to take some antipyretics for low-grade fever for past month. Abdominal computed tomography (CT) scan showed a liver abscess of 8 cm located in the left lobe of liver. No foreign body was identified at preoperative imaging. He underwent laparotomy. A liver abscess resulting from perforation and intrahepatic migration of a wooden skewer coming from the duodenum was diagnosed by surgery. The liver abscess and sepsis were controlled successfully with surgery and antibiotics. Conclusion: Surgery plays still a major role in the diagnosis and treatment of hepatic abscess caused by migrating foreign bodies in the gastrointestinal (GI) tract although ultrasonography (USG) and CT scan may detect the aetiological factor preoperatively in some cases. This unusual condition and the rarely ingested foreign body (wooden skewer) must be kept in mind when dealing with cases of hepatic abscess, or even sepsis of unknown origin. | |
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Keywords:
Foreign body, Gastrointestinal perforation, Liver abscess, Wooden skewer
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Author Contributions
Emel Ozveri – Substantial contributions to conception and design, Acquisition of data, Analysis and interpretation of data, Drafting the article, Revising it critically for important intellectual content, Final approval of the version to be published Eser Vardareli – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Ozdal Ersoy – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Metin Ertem – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published Nurdan Tozun – Analysis and interpretation of data, Revising it critically for important intellectual content, Final approval of the version to be published |
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Guarantor of submission
The corresponding author is the guarantor of submission. |
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Source of support
None |
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Conflict of interest
Authors declare no conflict of interest. |
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Copyright
© 2016 Emel Ozveri et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information. |
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