Pham Tram N, Nguyen Qui H, Lam Huong T, Nguyen Thang D, Vo Thong D
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.
Cureus. 2024 May 15;16(5):e60358. doi: 10.7759/cureus.60358. eCollection 2024 May.
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.
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。