<?xml version="1.0" encoding="ISO-8859-1"?><article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance">
<front>
<journal-meta>
<journal-id>2312-3893</journal-id>
<journal-title><![CDATA[Revista Virtual de la Sociedad Paraguaya de Medicina Interna]]></journal-title>
<abbrev-journal-title><![CDATA[Rev. virtual Soc. Parag. Med. Int.]]></abbrev-journal-title>
<issn>2312-3893</issn>
<publisher>
<publisher-name><![CDATA[Sociedad Paraguaya de Medicina Interna]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2312-38932026000100314</article-id>
<article-id pub-id-type="doi">10.18004/rvspmi/2312-3893/2026.e13142614</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Absceso hepático secundario a migración de espina de pescado]]></article-title>
<article-title xml:lang="en"><![CDATA[Liver abscess secondary to fish bone migration]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Salomón Rivarola]]></surname>
<given-names><![CDATA[María Belén]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[D&#8217;Olveira]]></surname>
<given-names><![CDATA[Nicole]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Santos García]]></surname>
<given-names><![CDATA[Mauricio Dos]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montiel Alfonso]]></surname>
<given-names><![CDATA[Miguel Ángel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Universidad Católica Nuestra Señora de la Asunción Hospital Central del Instituto de Previsión Social Departamento de Medicina Interna]]></institution>
<addr-line><![CDATA[Asunción ]]></addr-line>
<country>Paraguay</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>00</month>
<year>2026</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>00</month>
<year>2026</year>
</pub-date>
<volume>13</volume>
<numero>1</numero>
<fpage>314</fpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_arttext&amp;pid=S2312-38932026000100314&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_abstract&amp;pid=S2312-38932026000100314&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://scielo.iics.una.py/scielo.php?script=sci_pdf&amp;pid=S2312-38932026000100314&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[RESUMEN El absceso hepático secundario a la migración de un cuerpo extraño es una entidad clínica infrecuente, que ocurre cuando un objeto ingerido atraviesa la pared del tracto gastrointestinal y se aloja en el parénquima hepático. Esta complicación representa menos del 1% de los casos de ingestión de cuerpos extraños. Su presentación clínica suele ser inespecífica, predominando el dolor abdominal, la fiebre y síntomas sistémicos vagos, lo que dificulta el diagnóstico inicial. Se presenta el caso de un varón de 55 años, con antecedentes de hipertensión arterial e infarto agudo de miocardio, quien consultó por dolor retroesternal. Ante la sospecha inicial de un síndrome coronario agudo, se realizaron estudios complementarios que permitieron descartarlo. Durante la internación, el paciente desarrolló episodios febriles persistentes. Una tomografía de tórax evidenció imágenes en vidrio deslustrado en el pulmón derecho, junto con una lesión hepática hipodensa. La tomografía abdominal contrastada reveló un absceso hepático localizado en los segmentos I y VIII, que contenía en su interior un cuerpo extraño lineal, hiperdenso, de 4,5 cm de longitud. Ante la falta de mejoría con antibióticos fue sometido a una laparotomía exploradora, durante la cual se drenaron aproximadamente 300 cc de contenido purulento y se extrajo una espina de pescado.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[ABSTRACT Liver abscess secondary to foreign body migration is a rare clinical entity that occurs when an ingested object penetrates the wall of the gastrointestinal tract and lodges in the liver parenchyma. This complication accounts for less than 1% of cases of foreign body ingestion. Its clinical presentation is usually nonspecific, with abdominal pain, fever, and vague systemic symptoms predominating, which makes initial diagnosis difficult. We present the case of a 55-year-old man with a history of hypertension and acute myocardial infarction who consulted for retrosternal pain. Given the initial suspicion of acute coronary syndrome, complementary studies were performed, which ruled it out. During hospitalization, the patient developed persistent fever episodes. A chest CT scan showed ground-glass opacities in the right lung, along with a hypodense liver lesion. Contrast-enhanced abdominal CT revealed a liver abscess located in segments I and VIII, containing a linear, hyperdense foreign body 4.5 cm in length. In the absence of improvement with antibiotics, he underwent exploratory laparotomy, during which approximately 300 cc of purulent content was drained and a fish bone was removed.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[absceso hepático]]></kwd>
<kwd lng="es"><![CDATA[migración de cuerpo extraño]]></kwd>
<kwd lng="es"><![CDATA[absceso piógeno hepático]]></kwd>
<kwd lng="es"><![CDATA[laparotomía]]></kwd>
<kwd lng="en"><![CDATA[liver abscess]]></kwd>
<kwd lng="en"><![CDATA[foreign body migration]]></kwd>
<kwd lng="en"><![CDATA[pyogenic liver abscess]]></kwd>
<kwd lng="en"><![CDATA[laparotomy]]></kwd>
</kwd-group>
</article-meta>
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