Image-guided Percutaneous Transhepatic Removal of Fish Bone from Liver Abscess

Authors

  • Chin Wah Lau
  • Kang Min Wong
  • Apoorva Gogna

DOI:

https://doi.org/10.3941/jrcr.v11i2.2997

Keywords:

Fish bone, hepatic abscess, percutaneous removal, intervention, foreign body migration

Abstract

We present a case of a woman who was diagnosed with a hepatic abscess secondary to a migrated fish bone.  As the patient did not improve after percutaneous drainage of the abscess, image-guided percutaneous transhepatic removal of the fish bone was performed.  Fish bones in hepatic abscesses are typically removed surgically, with the fish bone left in situ in a number of cases.  There has been only another reported case of percutaneous transhepatic fish bone removal.  We conclude that in the rare case of a hepatic abscess complicating fish bone migration, image-guided percutaneous transhepatic removal of the offending foreign body is a feasible alternative to surgery, especially in high surgical risk patients.

Author Biographies

Chin Wah Lau

Department: Radiology Department, Singapore General Hospital. 

Address: Outram Road, Singapore, 169608.

 

Kang Min Wong

Department: Radiology Department, Changi General Hospital. 

Address: 2 Simei Street 3, Singapore, 529889.

Apoorva Gogna

Department: Radiology Department, Singapore General Hospital. 

Address: Outram Road, Singapore, 169608.

Published

2017-02-24

Issue

Section

Interventional Radiology