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鱼骨损伤所致肝脓肿:一例病例报告及文献综述

Liver abscess due to a fish bone injury: A case report and review of the literature.

作者信息

Hernández-Villafranca Sergio, Qian-Zhang Siyuan, García-Olmo Damian, Villarejo-Campos Pedro

机构信息

Department of General Surgery and Digestive System, Hospital Fundación Jiménez Díaz. Madrid, Spain.

Department of Surgery, School of Medicine, Universidad Autónoma de Madrid. Madrid, Spain.

出版信息

Cir Cir. 2020;88(Suppl 2):1-4. doi: 10.24875/CIRU.20000030.

Abstract

There are several cases of liver abscesses caused by the ingestion of a foreign body, especially in the elderly. Fish bones or chicken bones are sharp foreign bodies that can migrate through the digestive tract to the liver parenchyma. We reported a 71-year-old man who presented to the emergency department with fever and epigastric pain. Computed tomography scan showed a liver abscess related to a long and sharp foreign body which is protruding from the left lobe of the liver. Systemic antibiotic treatment was initiated and later the foreign body was removed by laparoscopic surgery.

摘要

有几例因吞食异物导致肝脓肿的病例,尤其是在老年人中。鱼骨或鸡骨是尖锐的异物,可经消化道迁移至肝实质。我们报告了一名71岁男性,他因发热和上腹部疼痛就诊于急诊科。计算机断层扫描显示肝脓肿与一个从肝左叶突出的细长尖锐异物有关。开始进行全身抗生素治疗,后来通过腹腔镜手术取出了异物。

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