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CASE 504: PERIHEPATIC ABSCESS DUE TO FISHBONE, Dr PHAN THANH HẢI,Dr LÊ THỊ THANH THẢO, MEDIC MEDICAL CENTER, HCMC, VIETNAM

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Woman 43 yo with  epigastric pain  has been treated as gastritis.
Ultrasound detected near  falciform ligamentun of liver  one abscess  with  foreign body long 3 cm  look like  fishbone  ( US1, US 2, US 3  SWE shows  it is very hard, US video).





CT scan no CE shows this fishbone is in a perihepatic abscess (CT1). 



One month later  the second CT examination with CE:  CT 2  shows  this abscess is  pulling abdominal wall out like a  hourglass [CT 2,  CT 3  sagital view].




Emergency operation of this abscess retrieved pus with a fishbone.





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