Abstract
A 74-year-old man who had accidentally swallowed a fish bone 2 weeks earlier presented to our hospital with high fever, dyspnea, and right shoulder pain. Abdominal USG and CT revealed a linear calcification and multiple abscesses in segment 4/5 of the liver. Percutaneous transhepatic abscess drainage was performed and administration of antibiotics was initiated, along with vasopressor agents for the management of septic shock. This treatment resulted in improvement of the clinical condition and laboratory parameters of the patient. Subsequently, surgery was performed to remove the fish bone. No evidence of gastrointestinal perforation or penetration was found. The buried fish bone was removed from segment 4 under intraoperative USG guidance. The treatment was successful and the patient was discharged 21 days post surgery.
Only a few cases of liver abscess caused by fish bone migration have been reported in the literature. Fish bone removal after preliminary treatment to improve the general condition of the patient could be a useful practical strategy for treating patients with liver abscess caused by fish bone migration.
