Taieb Ahmed Hadj, Chaouch Mohamed Ali, Kaouach Aymen, Ben Jabra Sadok, Zayati Mohamed, Gafsi Besma, Mili Emna, Noomen Faouzi
Department of Visceral and Digestive Surgery, Monastir University Hospital, Monastir, Tunisia.
Department of General Surgery, Sidi Bouzid Hospital, Sidi Bouzid, Tunisia.
IDCases. 2024 Apr 1;36:e01934. doi: 10.1016/j.idcr.2024.e01934. eCollection 2024.
This article discusses a case study involving a unique occurrence of a hepatic abscess caused by the presence of an ingested foreign body. Hepatic abscesses, characterized by pus accumulation within liver tissue, often result from various infections, with some cases having unidentified origins.
This study focuses on a 75-year-old man who presented at an emergency department with persistent pain in the right upper abdomen and fever for ten days. Diagnostic tests revealed a low-density, multiloculated mass in the liver and a hyperdense linear structure near the duodenum, indicating a hepatic abscess originating from duodenal perforation due to a foreign body that had migrated from ingestion. The patient underwent antibiotic treatment and a surgical procedure involving laparotomy to extract the foreign object and drain the abscess.
this case study underscores the rare occurrence of hepatic abscesses caused by ingested foreign bodies. Swift and accurate diagnosis, along with appropriate treatment involving foreign body removal and abscess drainage, are pivotal for favorable patient outcomes. The choice of treatment strategy impacts hospital stay duration, and understanding potential complications from foreign body ingestion enhances patient management and care.
本文讨论了一个涉及因摄入异物而导致肝脓肿这一独特情况的案例研究。肝脓肿的特征是肝组织内有脓液积聚，通常由各种感染引起，有些病例病因不明。
本研究聚焦于一名75岁男性，他因右上腹持续疼痛和发热十天而到急诊科就诊。诊断测试显示肝脏有一个低密度、多房性肿块，十二指肠附近有一个高密度线性结构，表明肝脓肿是由摄入的异物迁移导致十二指肠穿孔引起的。患者接受了抗生素治疗以及包括剖腹手术在内的外科手术，以取出异物并引流脓肿。
本案例研究强调了由摄入异物引起的肝脓肿的罕见性。迅速准确的诊断以及包括取出异物和引流脓肿在内的适当治疗对于患者获得良好预后至关重要。治疗策略的选择会影响住院时间，了解异物摄入的潜在并发症有助于加强患者管理和护理。
