A computed tomography (CT) scan of the abdomen demonstrated abscess over the left lobe of the liver and a linear curve of high-density material within a mass. A 58-year-old man presented at our hospital with right upper-quadrant pain and fever. He had undergone laparotomic cholecystectomy and choledochojejunostomy 28 years prior at another hospital. He had been healthy until 3 days before his admission, when his symptoms appeared. A computed tomography (CT) scan of the abdomen demonstrated abscess over the left lobe of the liver and a linear curve of high-density material within a mass (Figure 1; arrow). The patient received antibiotics and underwent aspiration of liver abscess. Endoscopic retrograde cholangiopancreatography (ERCP) was performed after the symptoms and signs had subsided. ERCP depicted mild dilatation of the CBD and choledojejunostomic fistula of the middle CBD. The patient underwent a biopsy forceps, which removed a 1.7 cm curved, linear, rusty, metallic surgical suture needle containing bile (Figure 2). We examined the patient’s abdominal radiographs, which revealed that the needle was on the right side of the third lumbar spine vertebra (Figure 3; arrow). We followed up with abdominal radiography and detected no further evidence of the needle. The patient was discharged without further events.