Abstract
Introduction: Hepatic abscess due to ingested foreign body is extremely rare and difficult to recognize, because radiological evaluations rarely detect perforation, and patients rarely report foreign body ingestion. Case Detail: A woman presented abdominal pain that progressively worsened, and was attended in the emergency room for multiple times, until she received an ultrasound diagnosis of liver abscess. After that, she was directed to the Hepatology Reference Service and started a treatment with antibiotic therapy and surgical approach with abscess drainage, gastric body raffia and removal of the foreign body - a 4cm fishbone. The patient evolved with no complications and received hospital discharge for follow-up. Discussion: Hepatic abscess due to perforation of the gastrointestinal tract caused by ingested foreign bodys are potentially severe, with a high risk of mortality if not properly treated. The diagnosis is preferably made with abdominal computed tomography, and the management is made with antibiotic therapy and surgical drainage of the abscess.