Santos Sofia A, Alberto Sara C F, Cruz Elsa, Pires Eduardo, Figueira Tomás, Coimbra Elia, Estevez José, Oliveira Mário, Novais Luís, Deus João R
Department of Gastroenterology, Fernando Fonseca Hospital, Amadora 2720-276, Portugal.
World J Gastroenterol. 2007 Mar 7;13(9):1466-70. doi: 10.3748/wjg.v13.i9.1466.
Hepatic abscess due to perforation of the gastrointestinal tract caused by ingested foreign bodies is uncommon. Pre-operative diagnosis is difficult as patients are often unaware of the foreign body ingestion and symptoms and imagiology are usually non-specific. The authors report a case of 62-year-old woman who was admitted with fever and abdominal pain. Further investigation revealed hepatic abscess, without resolution despite antibiotic therapy. A liver abscess resulting from perforation and intra-hepatic migration of a bone coming from the pilorum was diagnosed by surgery. The literature concerning foreign body-induced perforation of the gastrointestinal tract complicated by liver abscess is reviewed.
因摄入异物导致胃肠道穿孔引起的肝脓肿并不常见。术前诊断困难，因为患者往往未意识到异物摄入，且症状和影像学表现通常不具特异性。作者报告了一例62岁女性患者，因发热和腹痛入院。进一步检查发现肝脓肿，尽管进行了抗生素治疗仍未缓解。通过手术诊断为来自幽门的一根骨头穿孔并肝内迁移导致的肝脓肿。本文回顾了有关异物致胃肠道穿孔并发肝脓肿的文献。
