关键词: antibiotic therapy fishbone foreign bodies gastrointestinal perforation liver abscess

来  源:   DOI:10.7759/cureus.60358   PDF(Pubmed)

Abstract:
Foreign body-related complications are rare but possibly fatal events in clinical practice. Liver abscess as a result of gastrointestinal perforation caused by foreign bodies is even more rare. We report a case of a 63-year-old man who was admitted with fever and left epigastric pain. Further investigation revealed a liver abscess without resolution despite antibiotic therapy for several weeks. In the second admission, an enhanced computerized tomography scan revealed multiple abscesses in the left lobe of the liver, with a linear radio-dense foreign body within the collection. Open surgery was performed to extract the foreign body. The patient made a satisfactory postoperative recovery without complications and was discharged on the sixth postoperative day.
摘要:
在临床实践中,异物相关并发症很少见,但可能是致命的事件。由于异物引起的胃肠道穿孔引起的肝脓肿更为罕见。我们报告了一例63岁的男子,他因发烧和上腹痛入院。进一步的调查显示,尽管抗生素治疗了数周,但肝脓肿仍未消退。在第二次录取中,增强的计算机断层扫描显示肝脏左叶有多个脓肿,收集中带有线性无线电密集异物。进行开放手术以取出异物。患者术后恢复满意,无并发症,术后第六天出院。
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