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

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Man 52 yo with pain  in liverand 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 phasewith one  echo rich  body  in the boder of livercame from duodenum.


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


US 3 : elastoscan  showed this body had  very redcode whicn means  very hard.
CTliver  scanning  also detected  foreignbody ( fb) intra liverand 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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