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)