Hepatic abscess caused by an ingested chicken bone

An 80-year-old man, presented to our hospital with a history of fever, vomiting and diarrhea that had started one week before. Blood tests revealed an elevated white cell count and mildly increased aminotransferases and alkaline phosphatase levels. Abdominal ultrasound demonstrated a hypoechoic lesion in the left hepatic lobe. Contrast CT scan confirmed the presence of a liver abscess with a diameter of 4.5 cm. Furthermore, two bone density foreign bodies, one with 3.5 cm adjacent to the liver lesion and the other in the ascending colon (Figs. 1,2,3) were observed. The patient was started on a large spectrum antibiotic therapy with clinical improvement and reduction of the abscess size on imaging. A colonoscopy was performed with removal of a 7 cm chicken bone located in the ascending colon.