Patient: A 45 year old man in Saudi Arabia
symptoms: The patient went to the hospital after 10 days of intestine pain and experience and FeverThe doctors performed an ultrasound of the man’s stomach and found an abscess-one mass-filled mass in the right lobe of his liver. He dried the abscess and gave the patient a 10 -day course of antibiotics. His fever stopped, and the man was sent home.
However, a month later, the man ended in the emergency chamber after experienced fever of six consecutive days and 102.4 degrees Fahrenheit (39.1 ° C) – a clear relay of symptoms – a clear relay of symptoms.
what happened next: During the man’s trip to another hospital, blood tests showed that he had a height of white blood cells, a type of immune cell that fights infections, and a protein produced in the liver, the minimum level of albumin. Doctors operated a stomach X-ray but no abnormalities were detected. Doctors wrote that the patient’s abdominal calculation tomography (CT) scan showed that his kidneys, spleen, pancreas and gallbladder looked normal, the doctors wrote. In a report Of case.
However, when the medical team examined the middle area of the patient’s liver, they found two discrepancies. There was a wound that looked like an abscess, and the other was a solid, branch -like object inside the wound that measured about 1 inch (2.5 cm) long.
Diagnosis: Doctors suspected that the unknown object had caused the abscess and as a result of its possibility the first abscess of the patient was also a month ago, as well as.
treatment: After giving antibiotics to the patient, doctors performed a type of stomach surgery called laparotomy to remove the foreign object. It turned out to be a fish bone.
The patient said that he probably swallowed it while eating fish during meals about five months ago, but he did not remember to feel anything unusual at that time. After surgery, the condition of the man improved. In the next three months, the hospital monitored its health through follow -up visits, and did not have any other stomach issues.
What the case makes unique: Liver boils are rare. In North America, about Each year two cases of 100,000 people are reported.And can reach estimates for other places Around 17 per 100,000 people per annumThe most common causes of wounds wearing these pus are infections Blood, bile duct or abdominal,
In particular, the patient had a healed mark in a part of the small intestine called duodenal bulb. It suggested that the swallowing fish bone probably pierced the intestines of the man and then migrated from there to his liver.
According to the case report, most small fish bones, if swallowed, pass harmlessly through the intestine within about a week.
This article is only for informative purposes and does not mean to give medical advice.
