Liver punctured by fishbone

Case contributed by Dr Bruno Di Muzio

Presentation

Two days history of upper abdominal pain.

Patient Data

Age: 70
X-ray

Frontal abdominal x-ray shows no abnormalities. 

CT

A CT scan was requested for further evaluation.

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

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: 7th Oct 2017
Inclusion in quiz mode: Included

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