Hoff Jai W, Castrisos George, Sivasuthan Goutham, Renwick Clay
General Surgery, Rockhampton Hospital, Rockhampton, AUS.
Cureus. 2021 Feb 17;13(2):e13403. doi: 10.7759/cureus.13403.
A 68-year-old man presented to the hospital with severe right upper abdominal pain, fevers, nausea and lethargy. He deteriorated into septic shock and was found to have a hepatic abscess on computer tomography imaging. After multiple investigations and continual deterioration, he underwent an exploratory laparoscopy which revealed a chicken bone within the liver parenchyma resulting in a large hepatic abscess. The patient required a second laparoscopic washout and prolonged antibiotics, subsequently recovering well. This rare case highlights the difficulty in diagnosing hepatic abscesses caused by gastrointestinal foreign bodies, and successful management with laparoscopic surgery.
一名68岁男性因右上腹剧痛、发热、恶心及嗜睡入院。他病情恶化发展为感染性休克，计算机断层扫描成像显示有肝脓肿。经过多项检查且病情持续恶化后，他接受了 exploratory laparoscopy（此处可能有误，推测为“探查性腹腔镜检查”），结果发现肝实质内有一根鸡骨头，导致了一个大的肝脓肿。患者需要进行第二次腹腔镜冲洗并延长使用抗生素时间，随后恢复良好。这个罕见病例凸显了诊断由胃肠道异物引起的肝脓肿的困难，以及腹腔镜手术成功治疗的情况。
