A Case of Liver Abscess Caused by Toothpick Penetrating Gastric Wall.
- Author:
Hyun Cheol KOO
1
;
Jae Pil HAN
;
Ick Keun KIM
;
In Il PARK
;
Jue Yong LEE
;
Kyung Min SOHN
;
Kwang Ho BAIK
;
Jin Bong KIM
;
Dong Jun KIM
Author Information
1. Department of Internal Medicine, Hallym University College of Medicine, Chuncheon, Korea. kimjinbong@hallym.or.kr
- Publication Type:Case Report
- Keywords:
Liver abscess;
Toothpick;
Foreign body;
Hepato-gastric fistula;
Internal drainage
- MeSH:
Mortality
- From:Korean Journal of Gastrointestinal Endoscopy
2006;33(2):94-99
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
The ingestion of foreign bodies into the gastrointestinal tract is common, and most are passed out spontaneously without causing any problems. However, a perforation can cause a variety of complications involving considerable morbidity and mortality. Moreover, clinical presentation of a perforation can vary and patients are often unaware of the episode. Hence, a pre-operative diagnosis is difficult under these circumstances. We report an unusual case of a liver abscess that developed secondary to a toothpick that had penetrated the gastric wall and migrated to the liver. The liver abscess was treated successfully with internal drainage by inserting an endoscopic pigtail catheter through the hepato-gastric fistula. The toothpick was removed using an endoscopic snare.
