Liver punctured by fishbone

Case contributed by Dr Bruno Di Muzio

Presentation

Two days history of upper abdominal pain.

Patient Data

Age: 70
Modality: X-ray

Frontal abdominal x-ray shows no abnormalities. 

A CT scan was requested for further evaluation.

Modality: CT

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. 

Modality: Annotated image

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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Case Information

rID: 30216
Case created: 26th Jul 2014
Last edited: 26th Nov 2016
Inclusion in quiz mode: Included

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