The online version of this article (doi:10.1186/1471-230X-14-167) contains supplementary material, which is available to authorized users.
An erratum to this article is available at http://dx.doi.org/10.1186/s12876-015-0252-z.
The authors declare that they have no competing interests.
CD drafted the manuscript. PFL admitted the patient to intensive care unit, supervised the management of the patient during hospitalisation and helped to draft the manuscript. Both authors read and approved the final manuscript.
Foreign body ingestion complicated by perforation of the digestive tract is a well-known occurrence. Contrary to this, perforation by fishbones has most often been described in South East Asian populations, and has the unusual characteristic of often being paucisymptomatic until secondary complications occur.
We report the case of a 56 year-old man of asian origin who presented with a liver abscess of unknown origin, complicated by septic shock with multiorgan failure. He was later found to have a fishbone impacted in the left lobe of the liver, which had perforated the stomach and gone by unnoticed until presentation. The fishbone was extracted through laparotomy and the abscess was drained.
This report highlights a cause of liver abscesses which is likely underreported in Northern European populations and which, although rare in occurrence, should be part of our diagnostic algorithm of “cryptogenic abscesses” since surgical removal of the foreign object as drainage warrant definitive treatment.
Leggieri N, Marques-Vidal P, Cerwenka H, Denys A, Dorta G, Moutardier V, Raoult D: Migrated foreign body liver abscess; illustrative case report, systematic review, and proposed diagnostic algorithm. Medicine (Baltimore). 2010, 89 (2): 85-95. 10.1097/MD.0b013e3181d41c38. CrossRef
Lee KF, Chu W, Wong SW, Lai PBS: Hepatic abscess secondary to foreign body perforation of the stomach. Asian J Sur. 2005, 28 (4): 297-300. 10.1016/S1015-9584(09)60365-1. CrossRef
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