Liver hilar abscesses secondary to gastrointestinal perforation by ingested fish bones: surgical management of two cases

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摘要Several hepatobiliary complications secondary to gastrointestinal perforation after ingestion of a fish bone have been described in the literature, the most common being liver abscess, which can be potentially fatal. Treatment involves removal of the foreign body if possible (endoscopically or surgically), drainage of the abscess (radiologically or surgically), and appropriate antibiotic therapy. To our knowledge, no cases of hepatic hilar abscesses secondary to gastrointestinal perforation by a fish bone have been described in the literature. We report surgical management of two cases of abscess localized in the hepatic hilum secondary to the ingestion of fish bones.

作者单位 Department of General, Plastic and Ambulatory Surgery, H?pital Cochin Port-Royal, Assistance Publique des H?pitaux de Paris, Paris, France ^[1] Department of General, Digestive and Endocrine Surgery, H?pital Robert Debré, Centre Hospitalier Universitaire de Reims, Université de Reims Champagne-Ardenne, Reims, France ^[2] Department of Hepato-biliary Surgery and Liver Transplantation, H?pital Beaujon, Assistance Publique des H?pitaux de Paris, Clichy, France ^[3] Department of Radiology, H?pital Beaujon, Assistance Publique des H?pitaux de Paris, Clichy, France ^[4] Department of Internal Medicine, Infectious Diseases and Clinical Immunology, H?pital Robert Debré, Centre Hospitalier Universitaire de Reims, Université de Reims Champagne-Ardenne, Reims, France ^[5]

关键词 Liver hilum abscess fish bone hepatobiliary surgery

栏目名称 Case Report

DOI 10.3978/j.issn.2304-3881.2014.04.01

发布时间 2019-07-18