Successful treatment of liver abscess secondary to foreign body penetration of the alimentary tract Chong LW, Sun C K, WuC C, et al Successful treatment of liver abscess secondary to foreign body penetration of the alimentary tract: a case report and literature 杂志英文版电子版)
Successful treatment of liver abscess secondary to foreign body penetration of the alimentary tract Chong L W, Sun C K, Wu C C, et al. Successful treatment of liver abscess secondary to foreign body penetration of the alimentary tract: A case report and literature review[J]. 世界胃肠病学杂志:英⽂版(电⼦版), 2014, 20(13):3703-3711
A41-year-old man no previous history of medical illness Chief complaint: intermittent upper abdominal pain and acid regurgitation for two months Symptoms: fever occurred when the abdominal pain frst started vital signs T369 C, P95 /min, R16/min, BP140/71 mmHg Physical examination: mild epigastric tenderness
• A 41-year-old man • no previous history of medical illness • Chief complaint: intermittent upper abdominal pain and acid regurgitation for two months. • Symptoms: fever occurred when the abdominal pain frst started. • vital signs :T36.9 ℃, P95 /min, R16 /min, BP140/71 mmHg. • Physical examination: mild epigastric tenderness
Examination Esophago gastroduodenoscopy :a toothpick penetrating the posterior wall of the gastric antrum Blood culture: no bacterial growth Laboratory studies: WBC 14.6*10 6/L, neutrophils 66.4%
Examination • Esophago gastroduodenoscopy :a toothpick penetrating the posterior wall of the gastric antrum. • Blood culture: no bacterial growth. • Laboratory studies :WBC 14.6*10^6/L , neutrophils 66.4%
CT revealed a hyperdense, linear foreign body within the gastric antrum with transgastric penetration through the posterior wall of the antrum and close contact with the pancreatic body( Figure1)
CT revealed a hyperdense,linear foreign body within the gastric antrum with transgastric penetration through the posterior wall of the antrum and close contact with the pancreatic body (Figure1)
Diagnosis hepatic abscess complicating foreign body Figure 2 Liver abscess demonstrated in imaging study. Contrast-enhanced penetration of the gastric computed tomography scan showing a 7-cm hypodense mass in the lateral antrum segment of the left hepatic lobe(outlined by arrows)
Diagnosis: hepatic abscess complicating foreign body penetration of the gastric antrum