Recurrent Upper Quadrant Pain: A Fish Bone Secondary to Gastric Perforation and Liver Abscess

• Main Authors: Hui Liang, Ou-Qi Liu, Xin-Bo Ai, Da-Qi Zhu, Jin-Lan Liu, An Wang, Fei-Yue Gong, Cong Hu
• Format: Article
• Language: English
• Published: Karger Publishers 2011-12-01
• Series: Case Reports in Gastroenterology
• Subjects: Liver abscess; Fish bone; Coronary artery disease; Gastric ulcer
• Online Access: http://www.karger.com/Article/FullText/335211
• ISSN: 1662-0631

A 60-year-old male patient was admitted to our hospital for recurrent upper quadrant pain for 1 month. He had a past history of coronary artery disease. After admission, he repeatedly suffered from high-grade fever, chills and upper quadrant pain. Computed tomography (CT) showed a round hypodense mass in the left lobe of the liver, approximately 2.7 × 2.2 cm in size, and a fish bone was confirmed by surgery in the left lobe of liver. The patient was cured completely after surgical removal of the fish bone and liver abscess. CT scan 1 month after discharge showed that the liver abscess had disappeared completely.