Hepatic Abscess Secondary to Stomach Perforation by a Fish Bone: a Rare Cause of Hepatic Abscess

Abstract

Gastrointestinal foreign bodies are commonly encountered in clinical practice. However, although perforation of the gastrointestinal tract by a foreign body is not unusual, the formation of a hepatic abscess as a result of the migration of a foreign body is extremely rare. Patients usually present with atypical symptoms, and the treatment of such pyogenic liver abscesses presents a challenge. Here we report a case of hepatic abscess secondary to stomach perforation by a fish bone.

Fishy business: liver abscess secondary to fishbone perforation

“…Enterohepatic migration of fishbones has been described previously in the literature 4–6 . Similar to the case presented above, these patients often do not present with free gas despite gastric/duodenal perforation.…”

Liver abscess caused by fish bone perforation of stomach wall treated by laparoscopic surgery: a case report

“…Several reports have described the discovery of a foreign body causing a liver abscess using laparoscopic surgery, as shown in Table 1 [19–25]. In all nine cases, the left liver lobe was involved and the foreign body was present at the liver margins.…”

Laparoscopic Treatment of Hepatic Abscess Caused by an Ingested Foreign Body

“…The endoscopic findings showed edematous mucosal erosion at the lesser curvature of the distal stomach, which was highly suspected to be the site of perforation. Yu et al 1 and Panebianco et al 3 reported that peristaltic wave caused gradual migration of foreign body through thick gastric wall and progressive inflammatory adhesion of adjacent organs, and the omentum can surround and seal the perforation.…”

“…An ingested foreign body commonly passes through the gastrointestinal tract without any problems, and a hepatic abscess is serious septic condition that is usually caused by periportal and biliary infection. 1 Pyogenic hepatic abscess caused by an ingested foreign body is extremely uncommon and reports of laparoscopic treatment are very rare. We report here on a case of hepatic abscess caused by an ingested chicken bone which was treated with a laparoscopic approach.…”

“…An ingested foreign body commonly passes through the gastrointestinal tract without any problems, and a hepatic abscess is serious septic condition that is usually caused by periportal and biliary infection. 1 …”