Liver abscess caused by fish bone perforation of stomach wall treated by laparoscopic surgery: a case report

Surgical Case Reports

Kazuaki Tanabe¹  Tomoaki Bekki²  Nobuaki Fujikuni²  Masahiro Nakahara²  Toshio Noriyuki³  Hironobu Amano³ 

[1] 0000 0000 8711 3200, grid.257022.0, Department of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Kasumi 1-2-3 Minami-ku, Hiroshima, Hiroshima, Japan;0000 0004 0604 7643, grid.416874.8, Department of Surgery, Onomichi General Hospital, 1-10-23 Hirahara, Onomichi, Hiroshima, Japan;0000 0004 0604 7643, grid.416874.8, Department of Surgery, Onomichi General Hospital, 1-10-23 Hirahara, Onomichi, Hiroshima, Japan;0000 0000 8711 3200, grid.257022.0, Department of Gastroenterological and Transplant Surgery, Graduate School of Biomedical and Health Sciences, Hiroshima University, Kasumi 1-2-3 Minami-ku, Hiroshima, Hiroshima, Japan;

关键词: Liver abscess;    Perforation of gastrointestinal tract;    Fish bone;    Laparoscopic surgery;   

DOI  :  10.1186/s40792-019-0639-0

来源: publisher

【 摘 要 】

BackgroundFormation of a liver abscess due to gastrointestinal perforation by a foreign body is rare. In addition, there are few case reports on laparoscopic surgical treatment of a liver abscess caused by perforation of the gastrointestinal tract by a foreign body.Case presentationA 51-year-old man visited our hospital because of fever and anorexia. There were no physical findings except for fever. He had no comorbidities or surgical history. Laboratory tests showed increased inflammatory marker and liver enzyme levels. Abdominal ultrasonography showed a hypoechoic lesion in the left lobe of the liver. Abdominal contrast-enhanced computed tomography revealed an air-containing abscess in the left side of the liver and a high-density linear object. We diagnosed a liver abscess secondary to stomach perforation by a foreign body. Emergency laparoscopic surgery identified a fish bone in the abscess that formed between the stomach and liver. We succeeded in removing the fish bone laparoscopically.The patient was discharged without any postoperative complications on day 11.ConclusionsA liver abscess secondary to perforation of the gastrointestinal tract by a foreign body usually requires surgical treatment. Foreign body removal is important to prevent recurrence of liver abscess. In cases with the foreign body located at the liver margin, a laparoscopic approach to the abscess is very useful.

【 授权许可】

CC BY