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Thursday, 28 July 2016

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



Man 52 yo with pain  in liver and history of treating  liver abscess by ultrasound  guided puncture and drainage for 1 month..
Ultrasound  scanning with linear probe=


 US 1:detecting  liver  abscess  in recovery phase with one  echo rich foreign body  came from duodenum. in the boder of liver.


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


US 3 : elastoscan  showed  this body having  very red code whicn means very hard.
CT liver  scanning  also detected  foreign body ( fb) intra liver and one site was intra duodenum wall.



Emergency  endoscopy  cannot detect  this fb.
Laparoscopy  removed the fish bone  with length of3.5 cm  (photo).


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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