ArticleACG case reports journal2026
Laparoscopic Removal of a 4-cm Long Fishbone Causing Pyogenic Liver Abscess in an Elderly Patient.
Article in ACG case reports journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Pyogenic liver abscess secondary to ingestion and migration of a fishbone is extremely rare and poses diagnostic and therapeutic challenges. Early recognition and definitive removal of the foreign body are crucial for successful treatment. An 80-year-old Thai man with diabetes mellitus, hypertension, and chronic kidney disease presented with fever, chills, and dyspnea. Imaging revealed a large multiloculated abscess in the left hepatic lobe containing a linear calcified foreign body consistent with a fishbone. Despite antibiotic therapy and percutaneous drainage, clinical improvement was incomplete. Laparoscopic exploration successfully identified and removed a 4-cm fishbone without the need for hepatic resection. The patient recovered uneventfully, with complete resolution of the abscess on follow-up imaging. Fishbone-induced liver abscess is an uncommon but important differential diagnosis in patients with unexplained hepatic abscesses. Laparoscopic removal provides a safe and effective minimally invasive treatment, even in cases involving relatively long foreign bodies.
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