Gastric Perforation With an Associated Subhepatic Liver Abscess Related to an Accidentally Ingested Lobster Shell

Wasserman, Evan; Song, J K; Ehrlich, Timothy B.

doi:10.1097/mcg.0b013e31803238b3

Cited by 3 publications

(3 citation statements)

References 7 publications

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“…Ingested foreign bodies vary from countries and depend on dietary habits. Reported foreign bodies include metallic or plastic objects such as needle, [32] coin, [87,91] metallic wire, [28] pen, [10] dental plate, [86] and toothbrush; [57] organic objects such as animal bones (fish [8] chicken, [18] and rabbit [88] ), or shell; [82] wooden objects such as toothpick, [29] clothespin [12] or some plan, [14] and other objects. With regard to penetrated foreign bodies, objects that cause perforation are usually sharp, pointed, or elongated, yet all of the aforementioned foreign bodies have been reported for penetration.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic management of enterohepatic migrated fish bone mimicking liver neoplasm

Chen¹,

Wang²,

Zhuo³

et al. 2019

Medicine

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Rationale:Accidental ingestion of a foreign body is common in daily life. But the hepatic migration of perforated foreign body is rather rare.Patient concerns:A 37-year-old man presented with a history of vague epigastric discomfort for about 2 months.Diagnosis:A diagnosis of the foreign body induced hepatic inflammatory mass was made based on abdominal computed tomographic scan and upper gastrointestinal endoscopy.Interventions:The patient underwent laparoscopic laparotomy. During the operation, inflammatory signs were seen in the lesser omentum and segment 3 of liver. B- Ultrasound guided excision of the mass (in segment 3) was performed. Dissecting the specimen revealed a fish bone measuring 1.7 cm in length.Outcomes:The patient recovered uneventfully and was discharged on day 5 after surgery.Lessons:This study shows the usefulness of endoscopy for final diagnosis and treatment in foreign body ingestion. Early diagnosis and decisive treatment in time are lifesaving for patients with this potentially lethal condition.

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Section: Discussionmentioning

confidence: 99%

Laparoscopic management of enterohepatic migrated fish bone mimicking liver neoplasm

Chen¹,

Wang²,

Zhuo³

et al. 2019

Medicine

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“…Fish bones are particularly problematic in unintentional ingestions and are reported as causative factors in complications from ingestions in up to 63% of cases . While the ingestion of crustacean claws is less frequent (any ingestion of a crustacean fragment is reported in less than 20% of unintentional ingestions), the presentation can be quite dramatic, perhaps because of the cutting function of the claw . Regardless of the type of foreign body ingestion, the ileocecal region tends to be the most common site of perforation (30%-39%), presumably because it represents an anatomic site of narrowing where foreign bodies can become lodged and erode through the bowel wall.…”

Section: Discussionmentioning

confidence: 99%

“…2 While the ingestion of crustacean claws is less frequent (any ingestion of a crustacean fragment is reported in less than 20% of unintentional ingestions), 2,3 the presentation can be quite dramatic, perhaps because of the cutting function of the claw. 6,7 Regardless of the type of foreign body ingestion, the ileocecal region tends to be the most common site of perforation (30%-39%), [1][2][3] presumably because it represents an anatomic site of narrowing where foreign bodies can become lodged and erodethrough the bowel wall. We suspect adhesions from this patient's appendectomy contributed to perforation in this area for him.…”

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confidence: 99%

An Unusual Cause of Intestinal Perforation

2017

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A 52-year-old previously healthy man presented to the emergency department with gradual onset of severe right lower quadrant abdominal pain over the course of 24 hours. The patient did not have a fever and he was hemodynamically normal. Laboratory workup revealed leukocytosis with a white blood cell count of 11 600/μL (to convert to ×10 9 /L, multiply by 0.001). Physical examination revealed tenderness in the right lower quadrant without overt signs of peritonitis. The patient reported undergoing an appendectomy when he was 10 years old. Abdominal computed tomography was obtained (Figure 1). Figure 1. Coronal computed tomography scan showing calcification in the terminal ileum with surrounding enteritis (arrowhead).

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Successful treatment of liver abscess secondary to foreign body penetration of the alimentary tract: A case report and literature review

Chong¹

2014

WJG

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Hepatic abscess caused by foreign body penetration of the alimentary tract is rare. We report a case of gastric antrum penetration due to a toothpick complicated by liver abscess formation. A 41-year-old man was admitted to our hospital with the chief complaint of upper abdominal pain for 2 mo. Esophagogastroduodenoscopy performed at a local clinic revealed a toothpick penetrating the gastric antrum. Computed tomography (CT) of the abdomen at our hospital revealed a gastric foreign body embedded in the posterior wall of gastric antrum with regional phlegmon over the lesser sac and adhesion to the pancreatic body without notable vascular injury, and a hepatic abscess seven cm in diameter over the left liver lobe. Endoscopic removal of the foreign body was successfully performed without complication. The liver abscess was treated with parenteral antibiotics without drainage. The patient's recovery was uneventful. Abdominal ultrasonography demonstrated complete resolution of the hepatic abscess six months after discharge. Relevant literature from the PubMed database was reviewed and the clinical presentations, diagnostic modalities, treatment strategies and outcomes of 88 reported cases were analyzed. The results showed that only 6 patients received conservative treatment with parenteral antibiotics, while the majority underwent either image-guided abscess drainage or laparotomy. Patients receiving abscess drainage via laparotomy had a significantly shorter length of hospitalization compared with those undergoing image-guided drainage. There was no significant difference in age between those who survived and those who died, however, the latter presented to hospitals in a more critical condition than the former. The overall mortality rate was 7.95%.

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Gastric Perforation With an Associated Subhepatic Liver Abscess Related to an Accidentally Ingested Lobster Shell

Cited by 3 publications

References 7 publications

Laparoscopic management of enterohepatic migrated fish bone mimicking liver neoplasm

Laparoscopic management of enterohepatic migrated fish bone mimicking liver neoplasm

An Unusual Cause of Intestinal Perforation

Successful treatment of liver abscess secondary to foreign body penetration of the alimentary tract: A case report and literature review

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