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Introduction: Pyogenic hepatic abscess induced by foreign body perforation of the gastrointestinal tract is an increasing phenomenon. Pyogenic liver abscess in itself is a challenge to treat without the complication of a foreign body.
Methods: A case of a patient who developed a pyogenic hepatic abscess after unknown ingestion of a toothpick that subsequently perforated the duodenum is presented, and a literature review of pyogenic hepatic abscesses secondary to ingestion of foreign bodies and their causes, diagnosis, and treatment was performed.
Discussion: Even with a thorough workup, often the diagnosis of a pyogenic hepatic abscess secondary to an endolumenal foreign body perforation is not obtained until the time of operation.
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http://dx.doi.org/10.1007/s11605-011-1711-7 | DOI Listing |
World J Hepatol
August 2025
Department of Radiology, Aga Khan University, Karachi 74800, Sindh, Pakistan.
Pediatric liver masses encompass a diverse spectrum of benign and malignant lesions, with distinct patterns based on patient age. Optimal imaging is critical for timely diagnosis, management, and prognosis. This pictorial minireview categorizes pediatric liver masses by age group to guide hepatology and radiology practice, with an emphasis on imaging characteristics.
View Article and Find Full Text PDFJ Med Case Rep
August 2025
Department of Emergency Medicine, Tianjin Medical University General Hospital, 154 Anshan Road, Heping District, Tianjin, People's Republic of China.
Background: Pyogenic liver abscesses are a fatal condition often seen in emergency departments. The major clinical presentations include weakness, anorexia, fever, chills, ventosity and abdominal pain. They occur in immunocompromised individuals who suffer from diabetes mellitus, malignant tumors, hepatocirrhosis, kidney failure, and solid organ transplantation, or those with long-term administration of glucocorticoids.
View Article and Find Full Text PDFSemin Pediatr Surg
August 2025
Department of Pediatric Surgery, Emory University - Children's Healthcare of Atlanta, Atlanta, Georgia, USA.
Non-congenital biliary diseases in infants, such as inspissated bile syndrome, hemolysis-related cholelithiasis, and recurrent pyogenic cholangitis, can lead to significant morbidity due to biliary obstruction and hepatic dysfunction. Diagnosis typically involves clinical evaluation, liver function testing, and imaging, with ultrasound as the first-line modality. Management depends on the underlying etiology and severity, with many cases resolving through supportive care, removal of offending agents, and bile acid therapy.
View Article and Find Full Text PDFJ Med Case Rep
May 2025
Department of Medicine I, Division of Infectious Diseases and Tropical Medicine, Medical University of Vienna, Vienna, Austria.
Background: Tuberculosis is a global health issue affecting millions of people worldwide. While pulmonary tuberculosis is common, hepatic tuberculosis is rare and accounts for less than 1% of cases. Diagnosis is challenging owing to nonspecific symptoms and its ability to mimic other hepatic diseases.
View Article and Find Full Text PDFCureus
April 2025
Genomic-Metabolic Unit, Marista University of Merida, Yucatán, MEX.
Pyogenic liver abscess (PLA) is a potentially life-threatening condition that can progress to sepsis if not treated promptly. The condition often presents with non-specific symptoms such as persistent fever and abdominal pain, which can delay diagnosis. Computed tomography plays a crucial role in identifying hepatic abscesses and guiding timely intervention.
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