Журнал клинических случаев

Foreign Body-Induced Liver Abscess: Is Surgery Indispensable?

Abstract

Amroun KL, de Mestier L, Djerada Z, Malgoire JY, Belkebir M and Kianmanesh R

A case of hepatic abscess that developed secondary to a foreign body migration is reported herein. In most published cases, the diagnosis is done after failure of medical treatment or recurrence of the abscess. CT-scan findings may lead to an early diagnosis, like in this case. The patient was treated by percutaneous abscess drainage and adapted antibiotherapy. Because of remarkable co-morbid conditions, no removal surgery was performed. No recurrence of the abscess could be observed after eighteen months of follow up. Foreign body is a rare cause of liver abscess that may not be ignored by clinicians. Although removal surgery is the mainstay of its treatment, a medical approach could be attempted with efficacy.