Angry Bird's Revenge: Hepatic Abscesses Secondary to Colonic Perforation

  • Gholamreza Sivandzadeh Department of Gastroenterology, Gastroenterology and Hepatology Research Center, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Alimohammad Banazadeh Department of Surgery, Nemazee Hospital, Shiraz University of Medical Sciences, Shiraz, Iran.
  • Amir Anushiravani Department of Gastroenterology and Hepatology, Digestive Disease Research Institute, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran.
Keywords: Chicken bone, Perforation, Liver abscess

Abstract

Foreign bodies are commonly ingested and usually pass through the gastrointestinal tract, but in less than 1% complications can be seen. We aimed to report a very rare case of multiple hepatic abscesses caused by perforation of the sigmoid colon due to a chicken bone. An 82-year-old man presented with a 5-day history of abdominal pain, fever, and coffee ground vomiting. He was febrile and tachycardic and had a mild localized abdominal tenderness in the left lower quadrant. Laboratory findings revealed a lymphocyte dominant leukocytosis with an elevated erythrocyte sedimentation rate. Multiple abscesses were shown in the right lobe of the liver in abdominal computed tomography. Colonoscopy showed a chicken bone perforating both walls of the sigmoid colon. He received broad-spectrum antibiotics and underwent surgery for a complete recovery. Chronic lymphocytic leukemia was diagnosed by flow cytometry phenotyping. Mortality and morbidity of hepatic sepsis caused by foreign body-induced colon perforation depend on a rapid diagnosis.  We presented a very rare condition that should always be kept in mind when dealing with a case of liver abscess and even while confronting septic shock with an unknown origin.

References

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Published
2018-02-17
How to Cite
1.
Sivandzadeh G, Banazadeh A, Anushiravani A. Angry Bird’s Revenge: Hepatic Abscesses Secondary to Colonic Perforation. Acta Med Iran. 56(2):127-131.
Section
Case Report(s)