Document Detail

Hepatic abscess that formed secondary to fish bone and had a fistula with the ascending colon.
MedLine Citation:
PMID:  17420945     Owner:  NLM     Status:  MEDLINE    
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 x 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.
Yong Moon Kim; Tae Hee Lee; Seung Hyun Jung; Sun Moon Kim; Euyi Hyeog Im; Kyu Chan Huh; Young Woo Choi; Young Woo Kang
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2007-04-10
Journal Detail:
Title:  Digestive diseases and sciences     Volume:  52     ISSN:  0163-2116     ISO Abbreviation:  Dig. Dis. Sci.     Publication Date:  2007 Dec 
Date Detail:
Created Date:  2007-11-08     Completed Date:  2007-12-20     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7902782     Medline TA:  Dig Dis Sci     Country:  United States    
Other Details:
Languages:  eng     Pagination:  3515-8     Citation Subset:  AIM; IM    
Department of Internal Medicine, Konyang University College of Medicine, 685 Gasoowon-dong Seo-gu, Daejeon, Korea.
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MeSH Terms
Colon / injuries*
Colonic Diseases / diagnosis,  etiology*,  surgery
Diagnosis, Differential
Follow-Up Studies
Foreign Bodies / complications*,  diagnosis,  surgery
Intestinal Fistula / diagnosis,  etiology*,  surgery
Liver / injuries*
Liver Abscess / diagnosis,  etiology*,  surgery
Middle Aged
Tomography, X-Ray Computed
Wounds, Penetrating / complications*,  diagnosis,  surgery

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