1 Department of General, Plastic and Ambulatory Surgery, Hôpital Cochin Port-Royal, Assistance Publique des Hôpitaux de Paris, Paris, France ; 2 Department of General, Digestive and Endocrine Surgery, Hôpital Robert Debré, Centre Hospitalier Universitaire de Reims, Université de Reims Champagne-Ardenne, Reims, France ; 3 Department of Hepato-biliary Surgery and Liver Transplantation, Hôpital Beaujon, Assistance Publique des Hôpitaux de Paris, Clichy, France ; 4 Department of Radiology, Hôpital Beaujon, Assistance Publique des Hôpitaux de Paris, Clichy, France ; 5 Department of Internal Medicine, Infectious Diseases and Clinical Immunology, Hôpital Robert Debré, Centre Hospitalier Universitaire de Reims, Université de Reims Champagne-Ardenne, Reims, France.
Hepatobiliary Surg Nutr. 2014 Jun;3(3):156-62. doi: 10.3978/j.issn.2304-3881.2014.04.01.
Several hepatobiliary complications secondary to gastrointestinal perforation after ingestion of a fish bone have been described in the literature, the most common being liver abscess, which can be potentially fatal. Treatment involves removal of the foreign body if possible (endoscopically or surgically), drainage of the abscess (radiologically or surgically), and appropriate antibiotic therapy. To our knowledge, no cases of hepatic hilar abscesses secondary to gastrointestinal perforation by a fish bone have been described in the literature. We report surgical management of two cases of abscess localized in the hepatic hilum secondary to the ingestion of fish bones.
文献中描述了几种因吞食鱼骨导致胃肠道穿孔而继发的肝胆并发症，最常见的是肝脓肿，可能是致命的。治疗包括如果可能的话取出异物（内镜下或手术）、脓肿引流（放射学或手术）和适当的抗生素治疗。据我们所知，文献中没有因鱼骨导致胃肠道穿孔而继发肝门部脓肿的病例。我们报告了两例因食用鱼骨导致肝门部脓肿的手术治疗。
