Hepatic abscess caused by esophageal foreign body misdiagnosed as cystadenocarcinoma by magnetic resonance imaging:A case report  

作　　者：Wei Pan Li-Jing Lin Ze-Wu Meng Xin-Ran Cai Yan-Ling Chen 

机构地区：[1]Department of Hepatobiliary Surgery and Fujian Institute of Hepatobiliary Surgery,Fujian Medical University Union Hospital,Fuzhou 350001,Fujian Province,China [2]Fujian Medical University Cancer Center,Fuzhou 350001,Fujian Province,China [3]Department of Endocrinology,Union Hospital,Fujian Institute of Endocrinology,Fujian Medical University Union Hospital,Fuzhou 350001,Fujian Province,China

出　　处：《World Journal of Clinical Cases》2021年第23期6781-6788,共8页世界临床病例杂志

基　　金：Supported by National Natural Science Foundation of China,No.81672468;Startup Fund for Scientific Research,Fujian Medical University,No.2018QH1031.

摘　　要：BACKGROUND Foreign bodies stuck in the throat and esophagus can be discharged through the digestive tract.Esophageal-lodged foreign bodies can cause secondary injury or detrimental response,with hepatic abscess being one such,albeit rare,outcome.Review and discussion of the few case reports on such instances will help to improve the overall understanding of such conditions and aid in differential diagnosis to improve patient outcome.CASE SUMMARY A 51-year-old female patient with pre-existing diabetes visited our hospital following a 15-d experience of chills and fever.Both plain and enhanced magnetic resonance imaging and color Doppler ultrasound examination of the liver and gallbladder revealed a space-occupying lesion in the caudate lobe of the liver(7.8 cm×6.0 cm×5.0 cm).Initially,a malignant tumor was suspected,but differential diagnosis was unable to exclude the possibility of hepatic abscess.Conservative anti-infection therapy produced a less than ideal outcome.Additional examination by hepatobiliary imaging with computed tomography suggested a foreign body present in the upper abdomen and hepatic abscess,and subsequent endoscopy revealed a sinus tract in the anterior wall of the duodenal bulb.Therefore,surgery was performed to remove the object(fishbone)and drain the abscess.After a 2-wk uneventful recovery,the patient was discharged.The final diagnosis was foreign body-induced hepatic abscess of the caudate lobe.CONCLUSION Differential diagnosis is important for hepatic masses,and systematic examination and physician awareness can aid in diagnosing and curing such rare conditions.

关 键 词：Esophageal foreign body Hepatic abscess Caudate lobe CYSTADENOCARCINOMA Case report 

分 类 号：R768.32[医药卫生—耳鼻咽喉科] R575.4[医药卫生—临床医学]