Laparoscopic Treatment of Hepatic Abscess Caused by an Ingested Foreign Body

Kim, Dong Hee; Kim, Min Sung; Park, Jin Wan; Chang, Yeon Soo

doi:10.7602/jmis.2019.22.4.177

Cited by 2 publications

(4 citation statements)

References 9 publications

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“…ere was no history of child abuse in these cases [8,[9][10][11][12]. laparoscopic retrieval of intrahepatic FB have been reported [18][19][20][21][22]. Cases of liver abscess with FB should be drained rst with intravenous antibiotics.…”

Section: Discussionmentioning

confidence: 89%

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Intrahepatic Sewing Needle in a Child: A Case Report

Singh

2024

J Surg Interv Radiol

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Sewing needles in the body of children has been reported in various body parts such as the liver, pancreas, brain, legs, muscles, mesentery of the bowel, etc. The sewing needle in the body of a child usually raises the suspicion of child abuse and in adult's suspicion of drug abuse. Rarely iatrogenic migrated retained foreign bodies (intravenous cannula) in the liver were also reported. The non-vegetative foreign body in the liver usually reaches by the bloodstream and the vegetative foreign body usually reaches via the entric route. There were controversies for expectant and operative management for asymptomatic foreign bodies in the liver. A case of transcutaneous penetration of a sewing needle into the liver of a child during playing was discussed. The sewing needle was successfully retrieved by laparotomy. If left untreated retained foreign body in the liver can invite complications of liver abscess, hematoma, external or internal biliary stula, hemobilia, or migration of needle into the bloodstream.

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Section: Discussionmentioning

confidence: 89%

“…Bene ts of laparoscopy are adequate drainage of the abscess and better visualization of any stulous communication between the gut and the liver via a minimally invasive route. Laparotomy is preferred for associated perforation peritonitis, clinical instability, and sepsis [22]. Recently, many cases of…”

Section: Case Reportmentioning

confidence: 99%

Intrahepatic Sewing Needle in a Child: A Case Report

Singh

2024

J Surg Interv Radiol

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“…Most intrahepatic foreign bodies in adults derive from the gastrointestinal tract ( 19 ). The left lobe of the liver is commonly affected because the stomach and duodenum are the most common sites of perforation by foreign bodies ( 20 ). The right lobe of the liver is rarely affected by migration of foreign bodies from the ascending colon.…”

Section: Discussionmentioning

confidence: 99%

“…Endoscopy is a well-established technique for removing parts of foreign bodies in the intestinal tract. However, after foreign body migration and mucosal healing, foreign body may be difficult to find ( 20 ). Laparoscopic surgery has multiple advantages, namely mild postoperative pain, short hospitalization time, and cosmetic benefits ( 7 ).…”

Section: Discussionmentioning

confidence: 99%

Case report and literature review: An intrahepatic sewing needle in a child

Shi

Lv²,

Xu³

et al. 2023

Front. Pediatr.

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BackgroundThe presence of intrahepatic foreign bodies is a rare occurrence at the emergency department. Normally, foreign bodies reach the liver through migration. Incidence is lower among children than among adults, and the circumstances of children are often different. We report a 19-month-old boy with a sewing needle in the liver and review the previous reports of intrahepatic sewing needle in the PubMed database from the last three decades.Case presentationA 19-month-old boy was transferred to our center from a local hospital presenting intermittent cough and rhinorrhea. A chest radiograph to exclude pulmonary disease revealed an incidental finding of a high-density shadow in the hepatic region. On admission, the boy had no gastrointestinal symptoms. Abdominal physical examinations were unremarkable. His mother, a worker in a textile factory, denied any history of trauma. Abuse was excluded based on investigation. Preoperative routine test results were normal. Contrast-enhanced computed tomography (CT) revealed that the sewing needle was located in hepatic segment IV and the tip had close relationship with intrahepatic portal vein. Initially, laparoscopy was performed without success. We eventually converted to laparotomy to completely remove the rusty sewing needle. The patient resumed feeding soon after the operation and was discharged in a few days.ConclusionsIntrahepatic sewing needle has high incidence among boys and developing countries. Combined with contrast-enhanced CT, knowledge of the pediatric patient's family background and medical history would help judge the route of entry and determine the management and surgical strategy. Laparoscopic procedure is not suitable for rusty sewing needles.

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Laparoscopic Treatment of Hepatic Abscess Caused by an Ingested Foreign Body

Cited by 2 publications

References 9 publications

Intrahepatic Sewing Needle in a Child: A Case Report

Intrahepatic Sewing Needle in a Child: A Case Report

Case report and literature review: An intrahepatic sewing needle in a child

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