Resumen

SALOMON RIVAROLA, María Belén; D’OLVEIRA, Nicole; SANTOS GARCIA, Mauricio Dos  y  MONTIEL ALFONSO, Miguel Ángel. Liver abscess secondary to fish bone migration. Rev. virtual Soc. Parag. Med. Int. [online]. 2026, vol.13, n.1, e13142614.  Epub 14-Mar-2026. ISSN 2312-3893.  https://doi.org/10.18004/rvspmi/2312-3893/2026.e13142614.

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.

Palabras clave : liver abscess; foreign body migration; pyogenic liver abscess; laparotomy.

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