Endoscopic removal of an impacted colonic foreign body (fish bone) complicated by a pelvic abscess

Alberti-Flor, Juan J.; Hernandez, Moises E.; Ferrer, Jose P.; Maldonado, Adolfo; Saldivar, Rogelio

doi:10.1016/s0016-5107(92)70360-5

Cited by 5 publications

(1 citation statement)

References 6 publications

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“…Perforation by an ingested foreign body of the ascending colon is rare. Recently, colonoscopic identification and removal of foreign bodies have been reported [3][4][5][6]. We report herein a case of liver abscess caused by the penetration of foreign bodies directly into the bowel wall that had a fistula with the adherent ascending colon and was successfully treated with percutaneous drainage of hepatic abscess and colonoscopic removal of foreign bodies.…”

Section: Introductionmentioning

confidence: 99%

Hepatic Abscess That Formed Secondary to Fish Bone and Had a Fistula With the Ascending Colon

et al. 2007

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We present the case of a liver abscess that formed secondary to foreign bodies and formed a fistula the ascending colon and was successfully treated with percutaneous abscess drainage and colonoscopic removal of foreign bodies. A 64-year-old man presented with right upper and lower quadrant pain of 2 weeks' duration. Abdominal computed tomography was performed, demonstrating a single 3.5 x 1.9-cm abscess of the liver's right lobe and eccentric thickening of the colon wall at hepatic flexure. A percutaneous hepatic drainage catheter was placed under ultrasound guidance. Colonoscopic examination revealed multiple diverticula of the ascending colon and two 1.5-cm long fish bones at the ascending colon near the hepatic flexure. One end of each fish bone had impacted the edematous colonic mucosa and was surrounded by exudate polypoid inflammatory tissue. The fish bones were extracted with forceps. The patient was feeling well and was discharged after 12 days of treatment.

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Section: Introductionmentioning

confidence: 99%

Hepatic Abscess That Formed Secondary to Fish Bone and Had a Fistula With the Ascending Colon

et al. 2007

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Foreign bodies in sigmoid colon diverticulosis

Ross

McKenna

Anderson

2017

Clin J Gastroenterol

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This review addresses the management of sigmoid colon diverticular disease associated with foreign bodies. In addition, two novel cases are presented. One case describes the management of diverticular bleeding secondary to a chicken bone and the other case reports retrieval of a retained EndoRings™ Device. The review identified 40 relevant publications including 50 subjects. Foreign bodies within sigmoid diverticular disease may be associated with inflammation, perforation, abscess and fistula. In current practice, diagnosis is often achieved with CT scan. Patients with colonic perforation or fistula generally require colonic resection. Patients with inflammation may merit conservative management, including colonoscopic foreign body retrieval. Chicken bones, tooth picks, and biliary stents have been reported in patients with inflammation, perforation and fistula, whereas all published patients with fish bone related diverticulosis complications experienced inflammation. Treatment might be best guided by the consequences of the foreign body rather than the nature of the underlying retained object. Diverticular bleeding secondary to a chicken bone was diagnosed at CT angiography and treated with colonoscopic snare retrieval of the bone and clipping of the bleeding diverticulum. The EndoRings™ Device was retrieved with a colonoscopic balloon.

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Streptococcus milleri liver abscesses: an unusual complication after colonoscopic removal of an impacted fish bone

Paraskeva

Bury

Isaacs

2000

Gastrointestinal Endoscopy

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Endoscopic removal of an impacted colonic foreign body (fish bone) complicated by a pelvic abscess

Cited by 5 publications

References 6 publications

Hepatic Abscess That Formed Secondary to Fish Bone and Had a Fistula With the Ascending Colon

Hepatic Abscess That Formed Secondary to Fish Bone and Had a Fistula With the Ascending Colon

Foreign bodies in sigmoid colon diverticulosis

Streptococcus milleri liver abscesses: an unusual complication after colonoscopic removal of an impacted fish bone

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