Erschienen in:
01.12.2007 | Original Paper
Hepatic Abscess That Formed Secondary to Fish Bone and Had a Fistula With the Ascending Colon
verfasst von:
Yong Moon Kim, Tae Hee Lee, Seung Hyun Jung, Sun Moon Kim, Euyi Hyeog Im, Kyu Chan Huh, Young Woo Choi, Young Woo Kang
Erschienen in:
Digestive Diseases and Sciences
|
Ausgabe 12/2007
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Abstract
We present the case of a liver abscess that formed secondary to foreign bodies and formed a fistula the ascending colon and was successfully treated with percutaneous abscess drainage and colonoscopic removal of foreign bodies. A 64-year-old man presented with right upper and lower quadrant pain of 2 weeks' duration. Abdominal computed tomography was performed, demonstrating a single 3.5×1.9-cm abscess of the liver's right lobe and eccentric thickening of the colon wall at hepatic flexure. A percutaneous hepatic drainage catheter was placed under ultrasound guidance. Colonoscopic examination revealed multiple diverticula of the ascending colon and two 1.5-cm long fish bones at the ascending colon near the hepatic flexure. One end of each fish bone had impacted the edematous colonic mucosa and was surrounded by exudate polypoid inflammatory tissue. The fish bones were extracted with forceps. The patient was feeling well and was discharged after 12 days of treatment.