Laparoscopic Management of Hepatic Abscess From Ingested Chicken Bone

Hoff, Jai; Castrisos, George; Sivasuthan, Goutham; Renwick, Clay

doi:10.7759/cureus.13403

Cited by 4 publications

(2 citation statements)

References 7 publications

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“…CT or US-guided percutaneous needle aspiration with or without drainage catheter is the first management choice. Laparoscopic or open surgical drainage will be the next step if the percutaneous aspiration is inadequate [ 7 ]. Moreover, catheter placement is required when the abscess is greater than 5 cm.…”

Section: Discussionmentioning

confidence: 99%

Pyogenic Hepatic Abscess: A Case Report and Literature Review on a Rare Complication of Gastric Sleeve Surgery

Chakhachiro¹,

Armashi²,

Bawwab³

et al. 2022

Cureus

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Gastric sleeve surgery is a frequently performed procedure. Although it is one of the safest bariatric procedures, it is like any other operation that carries significant risks and complications. Moreover, the hepatic abscess is an infrequent complication of laparoscopic gastric sleeve surgery, the infected late gastric leakage is a rare etiology of the hepatic abscess. We present a case of liver abscess developed one month after sleeve gastrectomy secondary to infected walled-off late-gastric leak. The case highlights this rare complication of gastric sleeve surgery. Moreover, early treatment of liver abscesses with imaging-guided drainage and intravenous antibiotics can prevent life-threatening outcomes.

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Section: Discussionmentioning

confidence: 99%

Pyogenic Hepatic Abscess: A Case Report and Literature Review on a Rare Complication of Gastric Sleeve Surgery

Chakhachiro¹,

Armashi²,

Bawwab³

et al. 2022

Cureus

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“…Berk and Reit (1971) reported two cases of chicken bone located in the peritoneal cavity and caused intra-abdominal abscesses [43]. Hoff et al ( 2021) reported a case of liver abscess due to ingested chicken bone [44].…”

Section: Consequences Of Chicken Bone Ingestionmentioning

confidence: 99%

Ingested Chicken Bone (Xiphoid Process) in the Anal Canal: A Case Report and Literature Review

Alkandari¹,

Alsarraf²,

Alkandari³

2023

Cureus

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Accidental foreign body (FB) ingestion is common in the elderly, particularly edentulous and denture wearers. The most commonly ingested FBs are food-related, including fish and chicken bones. While small FBs can pass through the gastrointestinal tract without any complications, large or irregular-shaped FBs usually cause complications. These complications include choking, ulceration, perforation, fistula, abscess formation, or even death. Ingestion of a large chicken bone that reaches the anal canal without causing injury is extremely rare.We present a rare case of accidental chicken bone (xiphoid process) ingestion that manifested itself by projecting from the anus while defecating. Interestingly, the patient did not experience any food choking or abdominal pain, nor did she have any type of dementia. However, the patient could not grind food properly due to the loss of her upper molar teeth, which made her develop a habit of rapid swallowing. On examination, the chicken bone was seen within the anus with a sharp edge embedded in the mucosal wall. While a plain pelvic X-ray failed to display the FB, a pelvic CT scan with a 3D illustration showed its dimensions (5.0 x 2.5 x 3 cm). A plain pelvic CT scan confirmed the presence of the bone-contrast FB within the anal canal without injuring the surrounding anatomical structures. The FB was gently manipulated and successfully extracted after administering 5 ml of lidocaine gel enema. The patient was counseled regarding proper chewing habits, and she was referred to a dental clinic for a professional assessment. Seven days later, the patient was seen again at the clinic for a follow-up and was found to have an uneventful recovery. Maintaining good dental health and proper eating habits, as well as increasing awareness among edentulous individuals and denture wearers, are required to prevent accidental FB ingestions.

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A case of multiple liver abscesses after laparoscopic sleeve gastrectomy

Khitaryan,

Mezhunts,

Melnikov

et al. 2024

Ambulatornaya khirurgiya

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Laparoscopic Sleeve Gastrectomy is the most common weight loss surgery and at the same time one of the safest. However, like any other surgery, it carries significant risks and complications. One of these complications isliver abscess. This article presents a clinical case of a 36-year-old patient who developed multiple liver abscesses one month after laparoscopic sleeve gastrectomy. The patient’s medical history, surgery details, postoperative course, symptoms and diagnostic tests are described. Liver abscess is a rare but very serious complication after sleeve gastrectomy. The etiology of this complication is still a subject of debate. We can only assume that the most likely causes ofliver abscess are intra-abdominal bleeding with hematoma formation and its subsequent infection or failure of the stapler suture line in the early postoperative period. Computed tomography with intravenous contrast is the preferred method for diagnosing this complication, especially in patients with fever, rapid heartbeat, and abdominal pain. Currently, the most effective and safe method for treating localized purulent liver diseases is percutaneous puncture and drainage of the abscess under ultrasound or CT navigation, followed by intravenous antibiotics for 4-6 weeks. This treatment strategy has proven its effectiveness in many studies. Our clinical case was no exception. The purpose of this article is to raise awareness among surgeons about this rare complication and emphasize the importance of early diagnosis and treatment.

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Laparoscopic Management of Hepatic Abscess From Ingested Chicken Bone

Cited by 4 publications

References 7 publications

Pyogenic Hepatic Abscess: A Case Report and Literature Review on a Rare Complication of Gastric Sleeve Surgery

Pyogenic Hepatic Abscess: A Case Report and Literature Review on a Rare Complication of Gastric Sleeve Surgery

Ingested Chicken Bone (Xiphoid Process) in the Anal Canal: A Case Report and Literature Review

A case of multiple liver abscesses after laparoscopic sleeve gastrectomy

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