Bhawnaabout 5 years ago

Toothpick in liver

A 45-year-old woman was admitted to the emergency department for recurrent episodes of epigastric pain associated with fever (38.9°C), nausea, vomiting and hypotension. She was on parenteral broad-spectrum antibiotic for suspected intra-abdominal infection. A contrast CT of abdomen confirmed the presence of an elongated structure across the left lateral hepatic segments with abscess in the cavity. The patient was scheduled for an elective exploratory laparoscopy and possible extraction of the foreign body. At the time of surgery, she was found to have inflammation and adhesions between the omentum and the gallbladder. A laparoscopic cholecystectomy was performed. After the 6 months from her surgery, the patient continues to feel well and she denies the recurrence of any of her pre-operative symptoms.