angry bird's revenge: hepatic abscesses secondary to colonic perforation

Foreign bodies are commonly ingested and usually pass through the gastrointestinal tract, but in less than 1% complications can be seen. we aimed to report a very rare case of multiple hepatic abscesses caused by perforation of the sigmoid colon due to a chicken bone. an 82-year-old man presented with a 5-day history of abdominal pain, fever, and coffee ground vomiting. he was febrile and tachycardic and had a mild localized abdominal tenderness in the left lower quadrant. laboratory findings revealed a lymphocyte dominant leukocytosis with an elevated erythrocyte sedimentation rate. multiple abscesses were shown in the right lobe of the liver in abdominal computed tomography. colonoscopy showed a chicken bone perforating both walls of the sigmoid colon. he received broad-spectrum antibiotics and underwent surgery for a complete recovery. chronic lymphocytic leukemia was diagnosed by flow cytometry phenotyping. mortality and morbidity of hepatic sepsis caused by foreign body-induced colon perforation depend on a rapid diagnosis. we presented a very rare condition that should always be kept in mind when dealing with a case of liver abscess and even while confronting septic shock with an unknown origin.