Liver abscess caused by fish bone perforation of Meckel's diverticulum: a case report.
Fish bone
Foreign body perforation
Liver abscess
Meckel’s diverticulum
Journal
BMC surgery
ISSN: 1471-2482
Titre abrégé: BMC Surg
Pays: England
ID NLM: 100968567
Informations de publication
Date de publication:
05 Jun 2020
05 Jun 2020
Historique:
received:
18
12
2019
accepted:
27
05
2020
entrez:
7
6
2020
pubmed:
7
6
2020
medline:
21
10
2020
Statut:
epublish
Résumé
Liver abscess due to gastrointestinal perforation by foreign bodies is rare. Furthermore, there are few case reports of liver abscess via the portal vein caused by perforation of the lower gastrointestinal tract by a foreign body. A 54-year-old man visited our hospital because of a fever that had lasted for 1 month. There were no physical findings except for the fever. Laboratory tests showed only elevated inflammatory markers. Abdominal contrast-enhanced computed tomography revealed an abscess in the right lobe of the liver and a high-density object in the small intestine. We diagnosed him with liver abscess secondary to intestinal perforation by a foreign body. The patient underwent drainage of the liver abscess and laparoscopic surgery for perforation of the small intestine. A fish bone had perforated the top of Meckel's diverticulum, which had been covered by the ileal mesentery. We successfully performed diverticulectomy and removed the fish bone. The patient was discharged without complications on the 13th postoperative day. Liver abscess caused by foreign bodies requires multidisciplinary treatment, so we must detect and remove the cause of the abscess earlier. Liver abscess can form via the portal vein secondary to lower gastrointestinal perforation, as in this case. When exploring the cause of liver abscess, we should investigate the whole body, including the lower gastrointestinal tract.
Sections du résumé
BACKGROUND
BACKGROUND
Liver abscess due to gastrointestinal perforation by foreign bodies is rare. Furthermore, there are few case reports of liver abscess via the portal vein caused by perforation of the lower gastrointestinal tract by a foreign body.
CASE PRESENTATION
METHODS
A 54-year-old man visited our hospital because of a fever that had lasted for 1 month. There were no physical findings except for the fever. Laboratory tests showed only elevated inflammatory markers. Abdominal contrast-enhanced computed tomography revealed an abscess in the right lobe of the liver and a high-density object in the small intestine. We diagnosed him with liver abscess secondary to intestinal perforation by a foreign body. The patient underwent drainage of the liver abscess and laparoscopic surgery for perforation of the small intestine. A fish bone had perforated the top of Meckel's diverticulum, which had been covered by the ileal mesentery. We successfully performed diverticulectomy and removed the fish bone. The patient was discharged without complications on the 13th postoperative day.
CONCLUSIONS
CONCLUSIONS
Liver abscess caused by foreign bodies requires multidisciplinary treatment, so we must detect and remove the cause of the abscess earlier. Liver abscess can form via the portal vein secondary to lower gastrointestinal perforation, as in this case. When exploring the cause of liver abscess, we should investigate the whole body, including the lower gastrointestinal tract.
Identifiants
pubmed: 32503493
doi: 10.1186/s12893-020-00783-y
pii: 10.1186/s12893-020-00783-y
pmc: PMC7275410
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
121Références
Hepatobiliary Pancreat Dis Int. 2016 Oct;15(5):504-511
pubmed: 27733320
World J Emerg Surg. 2017 Jul 10;12:29
pubmed: 28702076
Nihon Shokakibyo Gakkai Zasshi. 2016 Mar;113(3):451-6
pubmed: 26947046
World J Gastroenterol. 2007 Mar 7;13(9):1466-70
pubmed: 17457985
Am J Surg. 2016 Jan;211(1):95-101
pubmed: 26033361
Singapore Med J. 2011 Mar;52(3):e56-8
pubmed: 21451917
Am J Surg. 1981 Sep;142(3):335-7
pubmed: 7283022
Surg Case Rep. 2019 May 15;5(1):79
pubmed: 31093821
Am J Gastroenterol. 1990 Jul;85(7):777-81
pubmed: 2196781