Sc. Chan et al., Hepatic abscess due to gastric perforation by ingested fish bone demonstrated by computed tomography, J FORMOS ME, 98(2), 1999, pp. 145-147
Perforation of the gastrointestinal tract by ingested foreign bodies is rar
e. Preoperative diagnosis of complications due to foreign bodies in the gas
trointestinal tract can rarely br achieved because the conventional radiogr
aphic appearance is nonspecific. This report describes a 69-year-old woman
who presented with vague clinical manifestations, intermittent abdominal pa
in, and low-grade fever. Hepatic abscess, secondary to 3 foreign body penet
rating the gastric wall, was diagnosed preoperatively using computed tomogr
aphy findings. On exploration, the foreign body turned out to be a fish bon
e. The abscess was confirmed and drained during surgery and a partial gastr
ectomy was performed. This case illustrates the value of CT in the evaluati
on of this condition.