GASTROENTEROLOGICAL ENDOSCOPY
Online ISSN : 1884-5738
Print ISSN : 0387-1207
ISSN-L : 0387-1207
RECURRENT LIVER ABSCESS CAUSED BY TOOTHPICK PENETRATION OF THE SIGMOID COLON
Kazunori SASAKI Shuji SAITOAyako MIYAJIMAYoshinori UEDAAkira EMARyoichi HIRAYAMARyo OTSUKA
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2023 Volume 65 Issue 3 Pages 257-262

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Abstract

A 78-year-old woman was admitted to our hospital with high fever. Computed tomography showed a liver abscess. She received treatment with antibiotics. We could not find the cause of liver abscess. Six months later, liver abscess had recurred, and she was treated with percutaneous abscess drainage along with antibiotic therapy. The cause of recurrent liver abscess was suspected a foreign body which existed in the intestinal tract for six months. CS revealed that the foreign body was a toothpick penetrating the sigmoid colon, which was removed endoscopically. The patient was discharged from the hospital 1 month after removal of the foreign body. No recurrence of the liver abscess was observed 6 months after discharge. Identification and removal of the foreign body, which was the cause of the liver abscess, prevented recurrence of the liver abscess. Although surgical treatment may be required to remove the foreign body, endoscopic removal was possible in this case.

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© 2023 Japan Gastroenterological Endoscopy Society
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