Fish bone: unusual cause of liver abscess by Haithem Zaafouri in Journal of Clinical Case Reports Medical Images and Health Sciences

 Fish bone: unusual cause of liver abscess by Haithem Zaafouri in Journal of Clinical Case Reports Medical Images and Health Sciences

Description 

A 41-year-old female admitted to our department of general surgery with a three days history of abdominal pain, fever and shivering. She was previously healthy without any past medical history. On examination, she was febrile at 39°C, and she had tenderness in the epigastric quadrant of the abdomen. Biological data showed leukocytosis at 22.10³ E/L, high C - reactive protein at 300mg/L, normal amylase and liver enzymesThe abdominal CT scan revealed a 5 cm left hepatic lobe abscess with hyperdense image into parenchyma which matches a 2 cm linear structure with calcium density. After ten days of intravenous antibiotics, an exploratory laparoscopy was done, and the foreign body was extracted etiopathogenic mechanism explains the left site of the hepatic abscess in these conditions. The extraction of the foreign body which can be chicken bones [2], toothpicks or other is done either by endoscopy when there is an intraluminal part of this foreign body or by minimally invasive surgery as in our case.

Declarations

 The author(s) declare that they have no competing interests

Consent:

 Ethical approval was not required for this medical imagery. 

Written informed consent was obtained from the patient for publication. 

Competing interests:

 The author(s) declare that they have no competing interests. 

Author’s contribution: All authors contributed equally, read and approved the final manuscript.  

Funding: No funding resources.

For more information: JCRMHS

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