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Thursday, 28 July 2016

CASE 387: LIVER ABSCESS DUE TO FISHBONE, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM



Man 52 yo with pain  in liver and history of treated  liver abscess by ultrasound  guided puncture and drainage for 1 month..
Ultrasound  scan at liner=


 US 1:detected  liver  abscess  in recovery phase with one  echo rich  body  in the boder of liver came from duodenum.


US 2: CDI  no change of  vascular structure of liver.


US 3 : elastoscan  showed  this body had  very red code whicn means  very hard.
CT liver  scanning  also detected  foreign body ( fb) intra liver and one site was intra duodenum wall.



Emergency  endoscopy  cannot detect  this fb.
Laparoscopy  removed the fish bone  with 3.5 cm length (  foto)


Conclusion: liver abscess  due to  fishbone  migrated from duodenum to liver.
Reference:

Fish Bone Penetration of the Duodenum: A Rare Cause of Liver Abscess


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