J Minim Invasive Surg.  2019 Dec;22(4):177-180. 10.7602/jmis.2019.22.4.177.

Laparoscopic Treatment of Hepatic Abscess Caused by an Ingested Foreign Body

• Kim DH
• Kim MS
• Park JW
• Chang YS

• KMID: 2469500
• DOI: http://doi.org/10.7602/jmis.2019.22.4.177

Abstract

Pyogenic hepatic abscess caused by an ingested foreign body is extremely uncommon, and reports on the laparoscopic treatment for it are very rare. We report here on a case of hepatic abscess caused by an ingested chicken bone which was treated with a laparoscopic approach. A 61-year-old man visited an emergency room with the chief complaints of high fever. He was diagnosed with pyogenic liver abscess that contained a sharp calcified foreign body seen on a CT-scan. At first, percutaneous transhepatic drainage of the abscess was performed to achieve recovery of the patient's condition. Subsequent laparoscopic exploration found and removed the foreign body in the lesser sac. The foreign body turned out to be an ingested chicken bone. The patient was discharged on the 10th day after surgery.

Keyword

Hepatic abscess; Foreign body; Laparoscopy

MeSH Terms

Abscess
Chickens
Drainage
Emergency Service, Hospital
Fever
Foreign Bodies*
Humans
Laparoscopy
Liver Abscess*
Liver Abscess, Pyogenic
Middle Aged
Peritoneal Cavity