Snapshot quiz (June 2021 [2])

Published: 07/01/2021

Authors: M.D. Mirande, M.C. Hernandez and D.M. Nagorney

A hepatic abscess secondary to gastrointestinal perforation from an ingested fishbone, which is best seen on the coronal CT image. The patient was managed with antibiotics, percutaneous drainage, and laparoscopic removal (the intraoperative video is available as online supporting information). Hepatic abscess formation secondary to gastrointestinal perforation from an ingested foreign body is rare. Reported ingested objects have ranged from various household items to a variety of animal bones. Enterohepatic migration of foreign bodies is most commonly due to fishbones and toothpicks with the stomach and duodenum being the most common location of perforation into the left lateral lobe of the liver.