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Computed tomography (CT) showed two abscesses in the right hepatic lobe (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>A) and a linear intramural high density image in the gastric antrum, suspicious of foreign body (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>B, arrow). After performing percutaneous drainage, the progression was satisfactory, showing a normal gastroscopy. Subsequently, a laparotomy was performed with gastric examination and extraction of a chicken bone 4<span class="elsevierStyleHsp" style=""></span>cm (<a class="elsevierStyleCrossRef" href="#fig0010">Fig. 2</a>) housed in the antrum, with no gross mucosal perforation.</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><p id="par0010" class="elsevierStylePara elsevierViewall">While accidental ingestion of a foreign body is not uncommon, the incidence of secondary gastrointestinal tract perforation is less than 1%. And it is even lower if this leads to the appearance of liver abscesses, with few cases reported in medical literature. Fishbone is the most frequently described body.</p><p id="par0015" class="elsevierStylePara elsevierViewall">Diagnosis is difficult. The foreign body may pass unnoticed unless complications occur. A CT scan is recommended in the detection of these bodies due to its high resolution.</p><p id="par0020" class="elsevierStylePara elsevierViewall">The abscess should be drained, removing the body and surgically repairing the perforation. The endoscopic removal of the body and percutaneous drainage of the collection is also possible.</p><p id="par0025" class="elsevierStylePara elsevierViewall">Early diagnosis and treatment are essential to avoid serious complications.</p></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "NotaPie" => array:1 [ 0 => array:2 [ "etiqueta" => "☆" "nota" => "<p class="elsevierStyleNotepara" id="npar0005">Please cite this article as: González García MP, Calvo Beguería E, Omiste Sanvicente T. Abscesos hepáticos y cuerpo extraño en el antro gástrico. Med Clin (Barc). 2016;147:e71.</p>" ] ] "multimedia" => array:2 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Fig. 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 1018 "Ancho" => 600 "Tamanyo" => 103108 ] ] ] 1 => array:6 [ "identificador" => "fig0010" "etiqueta" => "Fig. 2" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr2.jpeg" "Alto" => 750 "Ancho" => 1000 "Tamanyo" => 137358 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/23870206/0000014700000012/v1_201702040025/S2387020616307859/v1_201702040025/en/main.assets" "Apartado" => array:4 [ "identificador" => "51820" "tipo" => "SECCION" "en" => array:2 [ "titulo" => "Images in medicine" "idiomaDefecto" => true ] "idiomaDefecto" => "en" ] "PDF" => "https://static.elsevier.es/multimedia/23870206/0000014700000012/v1_201702040025/S2387020616307859/v1_201702040025/en/main.pdf?idApp=UINPBA00004N&text.app=https://www.elsevier.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S2387020616307859?idApp=UINPBA00004N" ]
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