Kim Yong Moon, Lee Tae Hee, Jung Seung Hyun, Kim Sun Moon, Im Euyi Hyeog, Huh Kyu Chan, Choi Young Woo, Kang Young Woo
Department of Internal Medicine, Konyang University College of Medicine, 685 Gasoowon-dong Seo-gu, Daejeon, Korea.
Dig Dis Sci. 2007 Dec;52(12):3515-8. doi: 10.1007/s10620-006-9198-x. Epub 2007 Apr 10.
We present the case of a liver abscess that formed secondary to foreign bodies and formed a fistula the ascending colon and was successfully treated with percutaneous abscess drainage and colonoscopic removal of foreign bodies. A 64-year-old man presented with right upper and lower quadrant pain of 2 weeks' duration. Abdominal computed tomography was performed, demonstrating a single 3.5 x 1.9-cm abscess of the liver's right lobe and eccentric thickening of the colon wall at hepatic flexure. A percutaneous hepatic drainage catheter was placed under ultrasound guidance. Colonoscopic examination revealed multiple diverticula of the ascending colon and two 1.5-cm long fish bones at the ascending colon near the hepatic flexure. One end of each fish bone had impacted the edematous colonic mucosa and was surrounded by exudate polypoid inflammatory tissue. The fish bones were extracted with forceps. The patient was feeling well and was discharged after 12 days of treatment.
我们报告一例因异物继发形成肝脓肿并与升结肠形成瘘管的病例，该病例经皮脓肿引流及结肠镜下异物取出术治疗成功。一名64岁男性，出现持续2周的右上腹和右下腹疼痛。进行了腹部计算机断层扫描，显示肝右叶有一个3.5×1.9厘米的单发脓肿，肝曲处结肠壁偏心增厚。在超声引导下放置了经皮肝引流导管。结肠镜检查发现升结肠多发憩室，在靠近肝曲的升结肠处有两根1.5厘米长的鱼骨。每根鱼骨的一端嵌入水肿的结肠黏膜，周围是渗出性息肉样炎性组织。用钳子取出了鱼骨。患者恢复良好，治疗12天后出院。
