A Fish Bone in the Liver Abscess with Intestinal Obstruction

Liver abscess is a rare complication associated with the ingestion of foreign bodies such as fish bone, which migrates to the liver through gastrointestinal tract. Here, we are reporting one such case of fish bone induced liver abscess that presented with acute small intestinal obstruction. On preoperative imaging, there was evidence of left lobe liver abscess with distal ileal transition point for obstruction and ascites. However, intraoperatively to our surprise, a foreign body, i.e., fish bone, was retrieved from liver abscess cavity, apart from ruptured liver abscess, and adhesive small bowel obstruction in distal ileum. This foreign body was identified later on revisiting the contrast-enhanced computed tomography abdomen post-operatively. We are reporting rare incidence to discuss presentation and adequate management.