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

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,...

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Autores principales: Kadi, Abudureyimu, Tuergan, Talaiti, Abulaiti, Yierpan, Shalayiadang, Paizula, Tayier, Baihetiyaer, Abulizi, Abududuaini, Tuohuti, Muniremu, Ahan, Ayifuhan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Baishideng Publishing Group Inc 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9850996/
https://www.ncbi.nlm.nih.gov/pubmed/36683634
http://dx.doi.org/10.12998/wjcc.v10.i36.13402
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author Kadi, Abudureyimu
Tuergan, Talaiti
Abulaiti, Yierpan
Shalayiadang, Paizula
Tayier, Baihetiyaer
Abulizi, Abududuaini
Tuohuti, Muniremu
Ahan, Ayifuhan
author_facet Kadi, Abudureyimu
Tuergan, Talaiti
Abulaiti, Yierpan
Shalayiadang, Paizula
Tayier, Baihetiyaer
Abulizi, Abududuaini
Tuohuti, Muniremu
Ahan, Ayifuhan
author_sort Kadi, Abudureyimu
collection PubMed
description 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-year-old 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.
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spelling pubmed-98509962023-01-20 Laparoscopic treatment of pyogenic liver abscess caused by fishbone puncture through the stomach wall and into the liver: A case report Kadi, Abudureyimu Tuergan, Talaiti Abulaiti, Yierpan Shalayiadang, Paizula Tayier, Baihetiyaer Abulizi, Abududuaini Tuohuti, Muniremu Ahan, Ayifuhan World J Clin Cases Case Report 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-year-old 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. Baishideng Publishing Group Inc 2022-12-26 2022-12-26 /pmc/articles/PMC9850996/ /pubmed/36683634 http://dx.doi.org/10.12998/wjcc.v10.i36.13402 Text en ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
spellingShingle Case Report
Kadi, Abudureyimu
Tuergan, Talaiti
Abulaiti, Yierpan
Shalayiadang, Paizula
Tayier, Baihetiyaer
Abulizi, Abududuaini
Tuohuti, Muniremu
Ahan, Ayifuhan
Laparoscopic treatment of pyogenic liver abscess caused by fishbone puncture through the stomach wall and into the liver: A case report
title Laparoscopic treatment of pyogenic liver abscess caused by fishbone puncture through the stomach wall and into the liver: A case report
title_full Laparoscopic treatment of pyogenic liver abscess caused by fishbone puncture through the stomach wall and into the liver: A case report
title_fullStr Laparoscopic treatment of pyogenic liver abscess caused by fishbone puncture through the stomach wall and into the liver: A case report
title_full_unstemmed Laparoscopic treatment of pyogenic liver abscess caused by fishbone puncture through the stomach wall and into the liver: A case report
title_short Laparoscopic treatment of pyogenic liver abscess caused by fishbone puncture through the stomach wall and into the liver: A case report
title_sort laparoscopic treatment of pyogenic liver abscess caused by fishbone puncture through the stomach wall and into the liver: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9850996/
https://www.ncbi.nlm.nih.gov/pubmed/36683634
http://dx.doi.org/10.12998/wjcc.v10.i36.13402
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