DOI: 10.363247/sjmcr.2018.v06i10.018

Pages: 799-802

Few cases of Hepatic abscess induced by foreign body have been reported in the adult population. The symptomatology is often nonspecific with usually atypical pains of the upper abdominal quadrant. Its treatment includes appropriate antibiotic therapy, drainage of the abscess and extraction of the foreign body. This article will describe the case of a 66-year-old patient with hepatic abscess secondary to a foreign body accidentally ingested. A Laparoscopy allowed precisely locating and safely removing the foreign body (a sewing needle) in the liver parenchyma. The presence of the foreign body (CE) in the caudate lobe can only be explained by its migration due to the intimate anatomical relationship between the gastric antrum and the segment IVb. Any liver abscess must have an abdominal doorway. The scanner is the most appropriate examination to establish the diagnosis and guide the management; multiplanar reconstructions facilitate the diagnosis of foreign bodies.