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异物相关肝脓肿:一例鱼刺病例研究

Foreign Body-Related Liver Abscess: A Case Study on Fishbone.

作者信息

Pham Tram N, Nguyen Qui H, Lam Huong T, Nguyen Thang D, Vo Thong D

机构信息

Internal Medicine, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, VNM.

Gastroenterology, Cho Ray Hospital, Ho Chi Minh City, VNM.

出版信息

Cureus. 2024 May 15;16(5):e60358. doi: 10.7759/cureus.60358. eCollection 2024 May.

Abstract

Foreign body-related complications are rare but possibly fatal events in clinical practice. Liver abscess as a result of gastrointestinal perforation caused by foreign bodies is even more rare. We report a case of a 63-year-old man who was admitted with fever and left epigastric pain. Further investigation revealed a liver abscess without resolution despite antibiotic therapy for several weeks. In the second admission, an enhanced computerized tomography scan revealed multiple abscesses in the left lobe of the liver, with a linear radio-dense foreign body within the collection. Open surgery was performed to extract the foreign body. The patient made a satisfactory postoperative recovery without complications and was discharged on the sixth postoperative day.

摘要

在临床实践中,异物相关并发症虽罕见但可能致命。异物导致胃肠道穿孔进而引发肝脓肿的情况更为罕见。我们报告一例63岁男性患者,因发热和左上腹疼痛入院。进一步检查发现,尽管接受了数周抗生素治疗,肝脓肿仍未消退。在第二次入院时,增强计算机断层扫描显示肝脏左叶有多个脓肿,脓腔内有一线状高密度异物。遂行开放手术取出异物。患者术后恢复良好,无并发症,术后第六天出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dbe9/11178145/a22391bbf93e/cureus-0016-00000060358-i01.jpg

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