Fishbone foreign body ingestion in duodenal papilla: a cause of abdominal pain resembling gastric ulcer

Yi, Lizhi; Cheng, Zhengyu; Zhou, Yuanyuan; Wang, Qin; Liu, Yangyang; Liu, Ke; Wang, Tao; Zhong, Xiangbin

doi:10.1186/s12876-020-01475-w

Cited by 5 publications

(2 citation statements)

References 13 publications

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“…Migration of foreign bodies into the bile duct is rarely reported in the literature 1 . It can cause acute and chronic complications 2 . Hence, early recognition of this potentially life‐threatening condition is critical for preventing complications and possible mortality.…”

Section: Introductionmentioning

confidence: 99%

Migration of bird feather into bile duct mimicking bile duct stone recurrence: First‐ever case report

Chen

Peng

Yang

et al. 2022

Adv in Digestive Medicine

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The presence of a bird feather as a foreign object inside the human body has rarely been reported in the literature. A feather can cause severe complications such as neck infection or duodenal perforation. Early recognition and treatment of this condition may prevent associated morbidity and mortality. We report a case of a female patient who had a feather inside her bile duct. The feather caused abdominal pain without acute cholangitis. Fortunately, it was successfully removed before causing severe complications. This is the first-ever case report of the migration of a feather into the common bile duct. A 54-year-old Taiwanese woman had a history of cholecystectomy due to acute calculous cholecystitis 1 year prior to this visit. She had also undergone endoscopic retrograde cholangiopancreatography (ERCP) two times due to acute cholangitis (8 years ago and 1 year ago). Endoscopic papilla sphincterotomy had been performed during ERCP for stone extraction. This time, she visited our clinic due to intermittent epigastric pain for 2 weeks. There were no signs of acute cholangitis.Abdominal computed tomography (CT) did not reveal bile duct stone or foreign bodies. ERCP was arranged for possible hidden stones not detected by CT. To our surprise, we pulled a 5-cm-long bird feather out of her bile duct during ERCP. After successfully removing the feather, she remained free of abdominal pain and other complications during the next 6 months of follow-up at our outpatient clinic. Migration of foreign bodies into the bile duct should be included in the differential diagnosis for unexplained abdominal pain in patients with choledochoduodenal fistula due to previous endoscopic papilla sphincterotomy.

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Section: Introductionmentioning

confidence: 99%

Migration of bird feather into bile duct mimicking bile duct stone recurrence: First‐ever case report

Chen

Peng

Yang

et al. 2022

Adv in Digestive Medicine

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“…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. So the patients' intake history, preoperative imaging and endoscopic findings should be examined carefully to better identify the location of the FBs and whether it is embedded.…”

mentioning

confidence: 99%

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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Augmented reality navigation facilitates laparoscopic removal of foreign body in the pancreas that cause chronic complications

et al. 2022

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Fishbone foreign body ingestion in duodenal papilla: a cause of abdominal pain resembling gastric ulcer

Cited by 5 publications

References 13 publications

Migration of bird feather into bile duct mimicking bile duct stone recurrence: First‐ever case report

Migration of bird feather into bile duct mimicking bile duct stone recurrence: First‐ever case report

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

Augmented reality navigation facilitates laparoscopic removal of foreign body in the pancreas that cause chronic complications

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