An uncommon liver abscess secondary to an ingested foreign body: A case report

IF 1.1 Q4 INFECTIOUS DISEASES IDCases Pub Date : 2024-01-01 DOI:10.1016/j.idcr.2024.e01934
Ahmed Hadj Taieb , Mohamed Ali Chaouch , Aymen Kaouach , Sadok Ben Jabra , Mohamed Zayati , Besma Gafsi , Emna Mili , Faouzi Noomen
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Abstract

Introduction

This article discusses a case study involving a unique occurrence of a hepatic abscess caused by the presence of an ingested foreign body. Hepatic abscesses, characterized by pus accumulation within liver tissue, often result from various infections, with some cases having unidentified origins.

Case presentation

This study focuses on a 75-year-old man who presented at an emergency department with persistent pain in the right upper abdomen and fever for ten days. Diagnostic tests revealed a low-density, multiloculated mass in the liver and a hyperdense linear structure near the duodenum, indicating a hepatic abscess originating from duodenal perforation due to a foreign body that had migrated from ingestion. The patient underwent antibiotic treatment and a surgical procedure involving laparotomy to extract the foreign object and drain the abscess.

Conclusion

this case study underscores the rare occurrence of hepatic abscesses caused by ingested foreign bodies. Swift and accurate diagnosis, along with appropriate treatment involving foreign body removal and abscess drainage, are pivotal for favorable patient outcomes. The choice of treatment strategy impacts hospital stay duration, and understanding potential complications from foreign body ingestion enhances patient management and care.

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继发于吞食异物的罕见肝脓肿:病例报告
导言本文讨论了一个病例研究,该病例涉及因摄入异物导致肝脓肿的独特病例。肝脓肿的特征是肝脏组织内的脓液积聚,通常由各种感染引起,有些病例起因不明。病例介绍本研究的重点是一名 75 岁的男性,他因右上腹持续疼痛和发热十天到急诊科就诊。诊断性检查发现肝脏内有一个低密度、多灶性肿块,十二指肠附近有一个高密度线状结构,这表明肝脓肿源于十二指肠穿孔,而穿孔的原因是摄入的异物移位。患者接受了抗生素治疗,并进行了开腹手术,取出异物并引流脓肿。迅速、准确的诊断,以及包括异物取出和脓肿引流在内的适当治疗,对患者的预后至关重要。治疗策略的选择会影响住院时间的长短,而了解异物摄入可能引起的并发症则能加强对患者的管理和护理。
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来源期刊
IDCases
IDCases INFECTIOUS DISEASES-
CiteScore
2.60
自引率
6.70%
发文量
300
审稿时长
10 weeks
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