INTRODUCTION: Pyogenic hepatic abscess induced by foreign body perforation of the gastrointestinal tract is an increasing phenomenon. Pyogenic liver abscess in itself is a challenge to treat without the complication of a foreign body. METHODS: A case of a patient who developed a pyogenic hepatic abscess after unknown ingestion of a toothpick that subsequently perforated the duodenum is presented, and a literature review of pyogenic hepatic abscesses secondary to ingestion of foreign bodies and their causes, diagnosis, and treatment was performed. DISCUSSION: Even with a thorough workup, often the diagnosis of a pyogenic hepatic abscess secondary to an endolumenal foreign body perforation is not obtained until the time of operation.
INTRODUCTION:Pyogenic hepatic abscess induced by foreign body perforation of the gastrointestinal tract is an increasing phenomenon. Pyogenic liver abscess in itself is a challenge to treat without the complication of a foreign body. METHODS: A case of a patient who developed a pyogenic hepatic abscess after unknown ingestion of a toothpick that subsequently perforated the duodenum is presented, and a literature review of pyogenic hepatic abscesses secondary to ingestion of foreign bodies and their causes, diagnosis, and treatment was performed. DISCUSSION: Even with a thorough workup, often the diagnosis of a pyogenic hepatic abscess secondary to an endolumenal foreign body perforation is not obtained until the time of operation.
Authors: Nicola Leggieri; Pedro Marques-Vidal; Herwig Cerwenka; Alban Denys; Gian Dorta; Vincent Moutardier; Didier Raoult Journal: Medicine (Baltimore) Date: 2010-03 Impact factor: 1.889
Authors: William W Hope; Dennis V Vrochides; William L Newcomb; William W Mayo-Smith; David A Iannitti Journal: Am Surg Date: 2008-02 Impact factor: 0.688