<?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>2011-7582</journal-id>
<journal-title><![CDATA[Revista Colombiana de Cirugía]]></journal-title>
<abbrev-journal-title><![CDATA[rev. colomb. cir.]]></abbrev-journal-title>
<issn>2011-7582</issn>
<publisher>
<publisher-name><![CDATA[Asociación Colombiana de Cirugía]]></publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id>S2011-75822025000200393</article-id>
<article-id pub-id-type="doi">10.30944/20117582.2514</article-id>
<title-group>
<article-title xml:lang="es"><![CDATA[Absceso hepático por espina de pescado: Reporte de caso]]></article-title>
<article-title xml:lang="en"><![CDATA[Fishbone liver abscess: Case report]]></article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Hernández-Valencia]]></surname>
<given-names><![CDATA[Edgar Ferney]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Montenegro-Apraez]]></surname>
<given-names><![CDATA[Álvaro Andrés]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Romero-Camperos]]></surname>
<given-names><![CDATA[Gabriel José]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
<contrib contrib-type="author">
<name>
<surname><![CDATA[Rico-Juri]]></surname>
<given-names><![CDATA[Juan Manuel]]></given-names>
</name>
<xref ref-type="aff" rid="Aff"/>
</contrib>
</contrib-group>
<aff id="Af1">
<institution><![CDATA[,Pontificia Universidad Javeriana Programa de especialización en Medicina de Urgencias ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af2">
<institution><![CDATA[,Pontificia Universidad Javeriana  ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af3">
<institution><![CDATA[,Pontificia Universidad Javeriana Programa de Medicina ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<aff id="Af4">
<institution><![CDATA[,Clínica Imbanaco Servicio de Cirugía hepatobiliar ]]></institution>
<addr-line><![CDATA[Cali ]]></addr-line>
<country>Colombia</country>
</aff>
<pub-date pub-type="pub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="epub">
<day>00</day>
<month>03</month>
<year>2025</year>
</pub-date>
<volume>40</volume>
<numero>2</numero>
<fpage>393</fpage>
<lpage>399</lpage>
<copyright-statement/>
<copyright-year/>
<self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_arttext&amp;pid=S2011-75822025000200393&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_abstract&amp;pid=S2011-75822025000200393&amp;lng=en&amp;nrm=iso"></self-uri><self-uri xlink:href="http://www.scielo.org.co/scielo.php?script=sci_pdf&amp;pid=S2011-75822025000200393&amp;lng=en&amp;nrm=iso"></self-uri><abstract abstract-type="short" xml:lang="es"><p><![CDATA[Resumen  Introducción.  El absceso hepático debido a la perforación del tracto gastrointestinal por la ingestión de cuerpos extraños es poco común. El diagnóstico preoperatorio es difícil debido a que usualmente no se cuenta con la información de la ingesta del cuerpo extraño. Además, los síntomas y los estudios imagenológicos suelen ser inespecíficos.  Caso clínico.  Se reporta el caso de un hombre de 77 años, que ingresó con síntomas inespecíficos. Las imágenes diagnósticas revelaron un absceso hepático, que no obtuvo resolución con la terapia convencional consistente en antibioticoterapia sumada a drenaje percutáneo, por lo cual fue llevado a cirugía para drenaje.  Resultados.  Durante el acto quirúrgico se observó perforación del antro gástrico y migración intrahepática de una espina de pescado. Se realizó la extracción del cuerpo extraño y, debido a la presencia de un absceso hepático gigante y multilobulado, con imposibilidad para realizar un adecuado drenaje vía abierta, se decidió proceder con hepatectomía izquierda. El paciente tuvo una adecuada evolución, con resolución del cuadro clínico.  Conclusiones.  Debido al antecedente de alergia al medio de contraste yodado, no fue posible realizar una tomografía con contraste, lo que limitó la identificación del cuerpo extraño e influyó en el retraso del diagnóstico. El manejo quirúrgico propuesto, con la extracción del cuerpo extraño y el drenaje del foco infeccioso, condujo a la adecuada evolución clínica del paciente.]]></p></abstract>
<abstract abstract-type="short" xml:lang="en"><p><![CDATA[Abstract  Introduction.  Liver abscess due to gastrointestinal tract perforation caused by foreign body ingestion is uncommon. Preoperative diagnosis is difficult because information on foreign body ingestion is usually no available, and symptoms and imaging studies are usually non-specific.  Clinical case.  The case of a 77-year-old man who was admitted with non-specific symptoms is reported. Diagnostic images revealed a liver abscess, which did not resolve with conventional therapy consisting of antibiotic therapy combined with percutaneous drainage, for which he was taken to surgery for drainage.  Results.  During the surgical procedure, perforation of the gastric antrum and intrahepatic migration of a fishbone were observed. The foreign body was removed and, due to the presence of a giant, multilobulated liver abscess, with the impossibility of performing adequate open drainage, it was decided to perform a left hepatectomy. The patient had an adequate evolution, with resolution of the clinical condition.  Conclusions.  Due to the history of allergy to iodine contrast medium, it was not possible to perform a contrast-enhanced CT scan, which limited the identification of the foreign body and influenced the delay in diagnosis. The proposed surgical management, with the extraction of the foreign body and the drainage of the infectious focus, led to the adequate clinical evolution of the patient.]]></p></abstract>
<kwd-group>
<kwd lng="es"><![CDATA[cuerpo extraño]]></kwd>
<kwd lng="es"><![CDATA[migración de cuerpo extraño]]></kwd>
<kwd lng="es"><![CDATA[absceso hepático]]></kwd>
<kwd lng="es"><![CDATA[perforación intestinal]]></kwd>
<kwd lng="es"><![CDATA[diagnóstico diferencial]]></kwd>
<kwd lng="es"><![CDATA[hepatectomía]]></kwd>
<kwd lng="en"><![CDATA[foreign body]]></kwd>
<kwd lng="en"><![CDATA[foreign body migration]]></kwd>
<kwd lng="en"><![CDATA[liver abscess]]></kwd>
<kwd lng="en"><![CDATA[intestinal perforation]]></kwd>
<kwd lng="en"><![CDATA[differential diagnosis]]></kwd>
<kwd lng="en"><![CDATA[hepatectomy]]></kwd>
</kwd-group>
</article-meta>
</front><back>
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