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ISSN: 2165-7920

Journal of Clinical Case Reports
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Case Report

Foreign Body-Induced Liver Abscess: Is Surgery Indispensable?

Amroun KL1*, de Mestier L2, Djerada Z3, Malgoire JY1, Belkebir M4 and Kianmanesh R1
1Service de Chirurgie Générale, Digestive et Endocrinienne, CHU Robert-Debré, boulevard du Général Koenig 51092 Reims Cedex, France
2Service d’Hépato-Gastroentérologie et Oncologie Digestive, CHU Robert Debré, boulevard du Général Koenig 51092 Reims Cedex, France
3Service de Pharmacologie – Toxicologie, CHU Robert Debré, boulevard du Général Koenig 51092 Reims Cedex, France
4Service de Radiologie, CHU Robert Debré, boulevard du Général Koenig 51092 Reims Cedex, France
Corresponding Author : Amroun KL
Service de Chirurgie Générale, Digestive et Endocrinienne
CHU Robert-Debré, boulevard du Général Koenig 51092 Reims Cedex, France
Tel: (+33)326787095
E-mail: [email protected]
Received August 31, 2012; Accepted September 26, 2012; Published September 28, 2012
Citation: Amroun KL, de Mestier, Djerada Z, Malgoire JY, Belkebir M, et al. (2012) Foreign Body-Induced Liver Abscess: Is Surgery Indispensable? J Clin Case Rep 2:205. doi:10.4172/2165-7920.1000205
Copyright: © 2012 Amroun KL, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

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.

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