Fish bone perforation of the duodenum

Murakami, Daisuke; Harada, Hideaki; Amano, Yuji

doi:10.20524/aog.2020.0456

Cited by 3 publications

(6 citation statements)

References 3 publications

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“…Surgical approach to retroperitoneal duodenum is more limited because of its deep location and view field. 11 …”

Section: Discussionmentioning

confidence: 99%

“…The third portion of duodenum is fixed to the retroperitoneum, consequently, the surgical approach may be limited by an insufficient view field to treat mesocolon with the mesenteric vessels. 11 Compared with surgical removal, endoscopic removal of FBs is associated with a lower probability of adverse events and less trauma and bleeding. 9,12,13 To our knowledge, few studies to date have reported the outcome of endoscopic removal of FBs embedded in both two sides of the duodenum.…”

Section: Introductionmentioning

confidence: 99%

“…Surgical approach to retroperitoneal duodenum is more limited because of its deep location and view field. 11 Compared with the sharp-pointed FBs with both sides embedded into the duodenal wall, the removal process of one-side embedded duodenal FBs is easier because this removal has more space to pull the FBs out without fear of injuring the contralateral duodenum. 19 It also makes the duodenal wall less likely to perforate and bleed.…”

mentioning

confidence: 99%

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Endoscopic Removal of Sharp-Pointed Foreign Bodies with Both Sides Embedded into the Duodenal Wall in Adults: A Retrospective Cohort Study

Yu¹,

Li²,

Zhou³

et al. 2021

IJGM

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Purpose Sharp-pointed FBs with both sides embedded in the duodenal wall are rare. Compared with smooth edged FBs, sharp objects are more likely to be associated with significant adverse events, when penetrating the wall of the digestive tract. The clinical features of patients who experienced sharp-pointed FBs embedded in both sides of the duodenum were retrospectively analyzed, as were the efficacy and safety of endoscopic removal of these FBs. Patients and Methods This retrospective study included 21 adults with both sides of sharp-pointed FBs embedded into the duodenal wall who were admitted to the Second Xiangya Hospital in China between January 1, 1996, and May 31, 2021. Data associated with the endoscopic removal of these FBs were collected from the electronic medical record system (EMRS) of the hospital. Results The incidence rate of duodenal total FBs and FBs embedded in both sides was 8.87% and 1.03%, respectively. The success rate of endoscopic treatment was 100.00% in 124 patients without embedded duodenal FBs and 97.14% in 35 patients with one side embedded duodenal FBs. Of the 21 patients with FBs embedded in both sides of the duodenal wall, endoscopic removal was successful in 85.71% of patients, whereas 14.29% required surgery. FBs removed from these patients included toothpicks in 12; needles in 3; jujube pits in 2; and a chopstick, dentures, fish bones, and chicken bones in one each. Most of these 21 FBs were located in the bulb and descending duodenum, followed by the third part of duodenum. Conclusion Sharp-edged FBs with both sides embedded in the duodenal wall are rare. Endoscopic removal may be considered as a feasible, safe, and effective method of removing sharp-pointed FBs with both sides embedded in the duodenal wall. And if endoscopic removal is unsuccessful, surgical management can be a secondary option.

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“…Surgical approach to retroperitoneal duodenum is more limited because of its deep location and view field. 11 …”

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

See 1 more Smart Citation

Endoscopic Removal of Sharp-Pointed Foreign Bodies with Both Sides Embedded into the Duodenal Wall in Adults: A Retrospective Cohort Study

Yu¹,

Li²,

Zhou³

et al. 2021

IJGM

View full text Add to dashboard Cite

show abstract

“…In four of the five cases in which both endoscopy and laparotomy were performed, a laparotomy was required after failure to identify the fish bone endoscopically. One case reported successful removal of the fish bone using an endoscope after failing to locate it intraoperatively 17 . Of all the cases in which an endoscopy was performed, fishbone was only identified and removed in half of the cases (50%).…”

Section: Discussionmentioning

confidence: 99%

Endoscopic and surgical management of duodenal perforation by a fish bone

et al. 2021

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“…As in our case, complicated hepatic foreign bodies should be removed by laparoscopy or laparotomy after diagnosis. The ingestion of fishbones can cause perforations in the following situations: (1) the swallowed fish bones are too sharp; (2) the peristaltic speed of the lesser curvature is fast; (3) the wall of the lesser curvature is relatively thin; and (4) digestive tract dysfunction [ 3 – 7 ].…”

Section: Introductionmentioning

confidence: 99%

Liver abscess in the caudate lobe caused by a fishbone and treated by laparoscopy: a case report

et al. 2022

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Background Ingestion of fish bones leading to gastric perforation and inducing abscess formation in the caudate lobe of the liver is very rare. Case presentation A 67-year-old man presented to our hospital with a 2-day history of subxiphoid pain. There were no specific symptoms other than pain. Laboratory tests showed only an increase in the number and percentage of neutrophils. Contrast-enhanced Computerized tomography (CT) of the abdomen showed two linear dense opacities in the gastric cardia, one of which penetrated the stomach and was adjacent to the caudate lobe of the liver, with inflammatory changes in the caudate lobe. We finally diagnosed his condition as a caudate lobe abscess secondary to intestinal perforation caused by a fishbone based on the history and imaging findings. The patient underwent 3D laparoscopic partial caudate lobectomy, incision and drainage of the liver abscess, and fishbone removal. The procedure was successful and we removed the fishbone from the liver. The patient was discharged on the 9th postoperative day without other complications. Conclusions Liver abscess caused by foreign bodies requires multidisciplinary treatment. Especially when located in the caudate lobe, we must detect and remove the cause of the abscess as early as possible. Foreign bodies that perforate the gastrointestinal tract can penetrate to the liver and cause abscess formation, as in this case. When exploring the etiology of liver abscesses, we should investigate the general condition, including the whole gastrointestinal tract.

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Fish bone perforation of the duodenum

Cited by 3 publications

References 3 publications

Endoscopic Removal of Sharp-Pointed Foreign Bodies with Both Sides Embedded into the Duodenal Wall in Adults: A Retrospective Cohort Study

Endoscopic Removal of Sharp-Pointed Foreign Bodies with Both Sides Embedded into the Duodenal Wall in Adults: A Retrospective Cohort Study

Endoscopic and surgical management of duodenal perforation by a fish bone

Liver abscess in the caudate lobe caused by a fishbone and treated by laparoscopy: a case report

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