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Hepatic Abscess in the Spiegel Lobe Caused by Foreign Body Penetration: Report of a Case Report

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Hepatic Abscess in the Spiegel Lobe Caused by Foreign Body Penetration: Report of a Case Report

Yuki Fujiwara et al. Surg Case Rep.

Abstract

A 69-year-old male patient visited our hospital because of a continuous low-grade fever and right back pain since 2 weeks. Enhanced computed tomography (CT) of his abdomen revealed a mass with ring enhancement (35 × 30 mm) in the Spiegel lobe as well as a needle-like foreign body. Because conservative treatment by fasting and administration of antibiotics was unsuccessful, the patient underwent emergency laparotomy for removal of the foreign body and drainage of the liver abscess. The patient made a satisfactory postoperative recovery without complications and was discharged on the eighth postoperative day. The foreign body was composed of both protein and calcium phosphate and was histologically diagnosed as matured bone. We herein report successful surgical treatment of a patient with a liver abscess in the Spiegel lobe caused by foreign body penetration.

Keywords: Foreign body penetration; Liver abscess; Spiegel lobe.

Figures

Fig. 1
Fig. 1
Enhanced computed tomography (CT) revealed a mass with ring enhancement (35 × 30 mm) and a needle-like foreign body. The distance between the tip of the foreign body and inferior vena cava was only 7 mm
Fig. 2
Fig. 2
Intraoperative view. The white needle-like foreign body and liver abscess in the Spiegel lobe were found on the left side of the hepatoduodenal ligament (a). The needle-like foreign body measured 35 mm in length (b)

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