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Tracking the foreign body, a rare cause of hepatic abscess

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Laterre, Pierre-François [UCL] Dangoisse, Carole

Background: Foreign body ingestion complicated by perforation of the digestive tract is a well-known occurrence. Contrary to this, perforation by fishbones has most often been described in South East Asian populations, and has the unusual characteristic of often being paucisymptomatic until secondary complications occur.Case presentation: We report the case of a 56 year-old man of asian origin who presented with a liver abscess of unknown origin, complicated by septic shock with multiorgan failure. He was later found to have a fishbone impacted in the left lobe of the liver, which had perforated the stomach and gone by unnoticed until presentation. The fishbone was extracted through laparotomy and the abscess was drained.Conclusion: This report highlights a cause of liver abscesses which is likely underreported in Northern European populations and which, although rare in occurrence, should be part of our diagnostic algorithm of " cryptogenic abscesses" since surgical removal of the foreign object as drainage warrant definitive treatment.

Document type Article de périodique (Journal article) – Article de recherche
Access type Accès libre
Publication date 2014
Language Anglais
Journal information "BMC Gastroenterology" - Vol. 14, p. 167 [1-4] (2014)
Peer reviewed yes
Publisher Biomed Central ((United Kingdom) London)
e-issn 1471-230X
Publication status Publié
Affiliations UCL - SSS/IREC/MEDA - Pôle de médecine aiguë
UCL - (SLuc) Service de soins intensifs
Links
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Bibliographic reference Laterre, Pierre-François ; Dangoisse, Carole. Tracking the foreign body, a rare cause of hepatic abscess. In: BMC Gastroenterology, Vol. 14, p. 167 [1-4] (2014)
Permanent URL http://hdl.handle.net/2078.1/164196