Department of Forensic Medicine, Identification Center of Forensic Medicine, Hebei Medical University, Hebei Key Laboratory of Forensic Medicine, Collaborative Innovation Center of Forensic Medical Molecular Identification, Shijiazhuang, China.
Department of Forensic Medicine, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
J Forensic Sci. 2022 Sep;67(5):2110-2114. doi: 10.1111/1556-4029.15079. Epub 2022 Jun 14.
The development of a hepatic abscess secondary to foreign body (FB) ingestion remains rare in forensic practice. Herein, we present a case of a prisoner who died in the hospital and a forensic autopsy was performed to confirm the cause of death. A 14.5-cm-long toothbrush handle was found in the duodenum and had penetrated the right lobe of the liver, consistent with the repeated abdominal pain in his clinical history. The clinical history and investigation confirmed that he had ingested the toothbrush handle 16 months prior. This case highlights a rare complication of intentional ingestion of foreign bodies, and pathologists should be aware of this rare entity which links hepatic abscess and FB ingestion.
异物（FB）摄入导致肝脓肿的发展在法医学实践中仍然很少见。在此，我们报告了一个囚犯在医院死亡的案例，并进行了法医尸检以确认死因。在十二指肠中发现了一根 14.5 厘米长的牙刷柄，并且已经穿透了肝脏的右叶，与他的临床病史中反复出现的腹痛一致。临床病史和调查证实他在 16 个月前摄入了牙刷柄。该病例突出了故意摄入异物的罕见并发症，病理学家应该意识到这种罕见的实体，它将肝脓肿和 FB 摄入联系起来。
