Document Detail


An unusual zoonosis: liver abscess secondary to asymptomatic colonic foreign body.
MedLine Citation:
PMID:  21113288     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A liver abscess may arise following any insult to gut integrity allowing portal drainage of bacteria to hepatocytes. Foreign bodies such as bones, toothpicks and items of stationery have previously been implicated in compromising gut epithelium. Here we present the case of a 57 year old man suffering from a left liver abscess. This was defined on CT which incidentally also identified a chicken bone protruding through the wall of the distal sigmoid colon. Whilst unwell with upper abdominal pain and sepsis, the presumed source of portal sepsis within the colon remained asymptomatic throughout. Following percutaneous drainage, the liver abscess resolved but the chicken bone had not passed at two months, necessitating atraumatic removal at colonoscopy. A high rate of incidental diagnoses suggests that unidentified foreign bodies may be vastly under recognised in cases of hepatic sepsis. Thus, identification of the precise mechanism of the liver insult demands thorough consideration; foreign body should be considered in all cases.
Authors:
Justin S Gundara; Richard Harrison
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-11-11
Journal Detail:
Title:  HPB surgery : a world journal of hepatic, pancreatic and biliary surgery     Volume:  2010     ISSN:  1607-8462     ISO Abbreviation:  HPB Surg     Publication Date:  2010  
Date Detail:
Created Date:  2010-11-29     Completed Date:  2011-04-19     Revised Date:  2013-07-03    
Medline Journal Info:
Nlm Unique ID:  9002972     Medline TA:  HPB Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  794271     Citation Subset:  IM    
Affiliation:
Department of Surgery, Wagga Wagga Base Hospital, University of New South Wales, NSW, Australia. jgundara@gmp.usyd.edu.au
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MeSH Terms
Descriptor/Qualifier:
Animals
Bone and Bones
Chickens
Colonoscopy
Diagnosis, Differential
Foreign Bodies / complications*,  diagnosis,  surgery*
Humans
Liver Abscess / diagnosis,  etiology*,  surgery*
Male
Middle Aged
Tomography, X-Ray Computed
Comments/Corrections

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