Liver punctured by fishbone

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

Two days history of upper abdominal pain.

Patient Data

Age: 70 years
x-ray
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Info

Frontal abdominal x-ray shows no abnormalities. 

ct
This study is a stack
Axial
non-contrast
This study is a stack
Coronal
non-contrast
This study is a stack
Sagittal
non-contrast
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Info

CT shows a hyperattenuating linear foreign body that punctures the lowers segments of hepatic left lobe; an hypoattenuating subcapsular small area is identified around it on liver. There is also fat planes densification between the duodenum and the liver. No pneumoperitoneum or gas on retroperitoneum. 

Annotated image
Axial
Coronal
Sagittal
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Info

CT shows a hyperattenuating linear foreign body that punctures the lowers segments of hepatic left lobe; an hypoattenuating subcapsular small area is identified around it on liver. 

Case Discussion

The case was reported as a foreign body that probably perforated duodenum and punctured left hepatic lobe causing a small liver abscess around it. The case was confirmed by surgery, the foreign body was a fishbone. 

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