RECURRENT LIVER ABSCESS CAUSED BY TOOTHPICK PENETRATION OF THE SIGMOID COLON

DOI
  • SASAKI Kazunori
    Division of Surgery, Gastrointestinal Center, Yokohama Shin-Midori General Hospital.
  • SAITO Shuji
    Division of Surgery, Gastrointestinal Center, Yokohama Shin-Midori General Hospital.
  • MIYAJIMA Ayako
    Division of Surgery, Gastrointestinal Center, Yokohama Shin-Midori General Hospital.
  • UEDA Yoshinori
    Division of Surgery, Gastrointestinal Center, Yokohama Shin-Midori General Hospital.
  • EMA Akira
    Division of Surgery, Gastrointestinal Center, Yokohama Shin-Midori General Hospital.
  • HIRAYAMA Ryoichi
    Division of Surgery, Gastrointestinal Center, Yokohama Shin-Midori General Hospital.
  • OTSUKA Ryo
    Division of Surgery, Gastrointestinal Center, Yokohama Shin-Midori General Hospital.

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Other Title
  • 肝膿瘍を繰り返した爪楊枝によるS状結腸穿通の１例

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Abstract

<p>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.</p>

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