Nassif André Thá, Granella Victor Hugo, Rucinski Tulio, Cavassin Bruno Landal, Bassani Alesandra, Nassif Lucas Thá
Hospital Santa Casa de Curitiba, Department of General Surgery, Curitiba, PR, Brasil.
Pontifícia Universidade Católica do Paraná, School of Medicine, Curitiba, PR, Brasil.
Autops Case Rep. 2021 Aug 20;11:e2021317. doi: 10.4322/acr.2021.317. eCollection 2021.
A hepatic abscess caused by a swallowed foreign body is a rare and challenging diagnosis. Most patients have nonspecific symptoms, and more than 90% of patients do not remember having swallowed it, which occurred accidentally. In this setting, fish bones, chicken bones, and toothpicks are the most found foreign bodies. We reported the case of a 54-year-old male patient admitted with abdominal pain and intermittent fever. He was diagnosed with liver abscess and treated successfully with antibiotics and a laparoscopic procedure; a rosemary twig was found during the abscess drainage procedure. Furthermore, a literature review of 22 cases of laparoscopic treated liver abscesses associated with a foreign body was made.
由吞食异物引起的肝脓肿是一种罕见且具有挑战性的诊断。大多数患者有非特异性症状,超过90%的患者不记得曾意外吞食过异物。在这种情况下,鱼骨、鸡骨和牙签是最常见的异物。我们报告了一名54岁男性患者,因腹痛和间歇性发热入院。他被诊断为肝脓肿,并通过抗生素和腹腔镜手术成功治疗;在脓肿引流过程中发现了一根迷迭香小枝。此外,还对22例与异物相关的腹腔镜治疗肝脓肿病例进行了文献综述。