Jarry Julien, Nguyen Vien, Stoltz Adeline, Imperato Marc, Michel Philippe
Department of Digestive Surgery, Desgenettes Hospital, Lyon, France.
Clin Pract. 2011 Nov 10;1(4):e115. doi: 10.4081/cp.2011.e115. eCollection 2011 Sep 28.
We report an unusual case of pyogenic, hepatic abscess caused by fish bone penetration of the duodenum in a 68-year-old woman. The fish bone had migrated into the liver through the duodenal wall. The patient was initially admitted to our emergency room with abdominal pain, fever, and asthenia. A contrastenhanced abdominal coputed tomography (CT) scan showed a hepatic abscess in relation with a straight, foreign body, which had entered through the duodenal wall. Surgery was necessary to remove the foreign body, which was identified as a fish bone. The patient's recovery was uneventful and she was discharged on postoperative day 10. This case is discussed together with the data collected by a medline-based extensive review of the literature.
我们报告了一例罕见的化脓性肝脓肿病例，病因是一名68岁女性十二指肠被鱼刺穿透。鱼刺通过十二指肠壁进入肝脏。患者最初因腹痛、发热和乏力入住我们的急诊室。腹部增强计算机断层扫描（CT）显示肝脓肿与一个经十二指肠壁进入的笔直异物有关。必须通过手术取出异物，经确认该异物为鱼刺。患者恢复顺利，术后第10天出院。结合通过基于医学文献数据库的广泛文献回顾收集的数据，对本病例进行了讨论。
