Laparoscopic treatment of pyogenic liver abscess caused by fishbone puncture through the stomach wall and into the liver:A case report  

作　　者：Abudureyimu Kadi Talaiti Tuergan Yierpan Abulaiti Paizula Shalayiadang Baihetiyaer Tayier Abududuaini Abulizi Muniremu Tuohuti Ayifuhan Ahan 

机构地区：[1]Department of Hepatobiliary and Hydatid Disease,Digestive and Vascular Center,First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,Xinjiang Uygur Autonomous Region,China [2]Department of General Medicine,First People's Hospital of Aksu Region,Aksu 843099,Xinjiang Uygur Autonomous Region,China

出　　处：《World Journal of Clinical Cases》2022年第36期13402-13407,共6页世界临床病例杂志

基　　金：Supported by the Open Project of the State Key Laboratory of Pathogenesis,No.SKL-HIDCA-2019;Prevention and Treatment of High Incidence Diseases in Central Asia jointly established by the Provincial Government and the Ministry,No.SKL-HIDCA-2022-34。

摘　　要：BACKGROUND Pyogenic liver abscess(PLA)due to foreign body penetration of the gastrointestinal tract is rare but can lead to serious consequences if not diagnosed and managed properly.We report a case of PLA caused by a fishbone puncture.CASE SUMMARY This report describes the clinical features,diagnosis and treatment of a 56-yearold male patient who presented with severe pneumonia,acute respiratory failure and septic shock.The main clinical manifestation was a nonspecific recurrent infection.Based on the findings of abdominal computed tomography examination and the detailed medical history,the diagnosis was made as PLA which was caused by fishbone puncture through the stomach wall and into the liver.After active anti-inflammatory treatment,the patient’s general condition had improved.The laparoscopic drainage of the liver abscess and the foreign body removal was performed.There was no recurrence of abscess at discharge or during follow-up and the patient’s general condition was satisfactory.CONCLUSION PLA caused by foreign bodies usually requires surgical treatment or percutaneous drainage combined with antibiotics.Our case confirms that a laparoscopic approach is safe and feasible for such cases.

关 键 词：Liver abscess Fish bone Foreign body Laparoscopic surgery Case report 

分 类 号：R656[医药卫生—外科学]