Liver abscess due to a fish bone injury: A case report and review of the literature

Hernández-Villafranca, Sergio; Qian, Siyuan; Garcı́a-Olmo, Damián; Campos, Pedro Villarejo

doi:10.24875/ciru.20000030

Cited by 6 publications

(6 citation statements)

References 16 publications

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“…The preoperative diagnosis of a foreign body is clinically challenging because ingestion is usually accidental and the patient may not remember actually ingesting the foreign body as it occurred a fortnight prior to the development of any symptoms. In addition, the clinical presentation is usually not specific 6 , 7 .…”

Section: Discussionmentioning

confidence: 99%

“…Perforation and migration from the digestive tract of a foreign body are the causes of some liver abscesses 7 .…”

Section: Discussionmentioning

confidence: 99%

“…Frequently, there is no extraluminal migration, and the foreign body could be removed endoscopically. When this foreign body has migrated out of the digestive tract, surgical extraction by a minimally invasive approach is safe and feasible 7 .…”

Section: Discussionmentioning

confidence: 99%

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Parietal mass caused by a fish bone: case report

Erguibi

Kamal

Eddaoudi

et al. 2023

Annals of Medicine &Amp; Surgery

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Introduction: It is a great challenge to distinguish the parietal inflammation, centered on the foreign body that pierced the digestive tract and remained in the wall before surgery, because of its atypical clinical nature. Ingestion of foreign bodies is not uncommon. Fish bones are particularly notorious culprits; however, most will pass through the gastrointestinal tract uneventfully. Patients and Methods: The authors report a case of a patient who presented with periumbilical abdominal pain and a computed tomography (CT) scan that revealed the presence of periumbilical fat infiltration on a foreign body admitted on the Department of Digestive Cancer Surgery and Liver Transplantation, Casablanca, Morocco. An exploratory laparotomy revealed a parietal mass centered by a fish bone. Results: Accidental ingestion of foreign bodies is common in clinical practice. However, perforation of the intestine by a foreign body is less common because the majority of foreign bodies pass without incident into the feces and only 1% of them (the sharpest and most elongated objects) will perforate the gastrointestinal tract, usually at the level of the ileum. CT, especially multidetector CT, is considered the method of choice for preoperative diagnoses of ingested foreign bodies and their complications due to its high-quality multiplanar capabilities and high resolution. Foreign body ingestion usually goes unnoticed, but the complications of this incident can be severe. Conclusion: This case report highlights the fact that intestinal perforation caused by an ingested foreign body is a difficult diagnosis that should always be suspected in an attack of abdominal pain. Frequently, the clinical diagnosis is difficult, and recourse to imaging is sometimes necessary. Most of the time, the treatment is only surgical.

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Section: Discussionmentioning

confidence: 99%

“…Perforation and migration from the digestive tract of a foreign body are the causes of some liver abscesses 7 .…”

Section: Discussionmentioning

confidence: 99%

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Parietal mass caused by a fish bone: case report

Erguibi

Kamal

Eddaoudi

et al. 2023

Annals of Medicine &Amp; Surgery

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“…However, early diagnosis is challenging due to the lack of specific findings, the lack of patient awareness of foreign body ingestion, and the low index of suspicion by the medical team for the specific condition. Liver abscess due to foreign body ingestion is still rare and a difficult diagnosis because most patients do not recall foreign body ingestion events and usually present with nonspecific symptoms[ 13 ]. Moreover, the foreign bodies are not visible on X-rays and sometimes not even on CT scans.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic treatment of pyogenic liver abscess caused by fishbone puncture through the stomach wall and into the liver: A case report

Kadi¹,

Tuergan²,

Abulaiti³

et al. 2022

World J Clin Cases

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BACKGROUND Pyogenic liver abscess (PLA) due to foreign body penetration of the gastrointestinal tract is rare but can lead to serious consequences if not diagnosed and managed properly. We report a case of PLA caused by a fishbone puncture. CASE SUMMARY This report describes the clinical features, diagnosis and treatment of a 56-year-old male patient who presented with severe pneumonia, acute respiratory failure and septic shock. The main clinical manifestation was a nonspecific recurrent infection. Based on the findings of abdominal computed tomography examination and the detailed medical history, the diagnosis was made as PLA which was caused by fishbone puncture through the stomach wall and into the liver. After active anti-inflammatory treatment, the patient's general condition had improved. The laparoscopic drainage of the liver abscess and the foreign body removal was performed. There was no recurrence of abscess at discharge or during follow-up and the patient’s general condition was satisfactory. CONCLUSION PLA caused by foreign bodies usually requires surgical treatment or percutaneous drainage combined with antibiotics. Our case confirms that a laparoscopic approach is safe and feasible for such cases.

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“…Fish bones can migrate through the digestive tract to the liver parenchyma 1 . The endoscopic alternatives in these cases are limited and a surgical approach is often required 2 .…”

Section: Fig 1 Amentioning

confidence: 99%

Endoscopic salvage extraction of a fish bone impacted in a liver abscess by extra-anatomic cholangioscopy

Pérez-Cuadrado-Robles

Khoury

Perrod

et al. 2022

Endoscopy

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Liver abscess due to a fish bone injury: A case report and review of the literature

Abstract: Absceso hepático debido a la ingestión de una espina de pescado: caso clínico y revisión de la literatura

Cited by 6 publications

References 16 publications

Parietal mass caused by a fish bone: case report

Parietal mass caused by a fish bone: case report

Laparoscopic treatment of pyogenic liver abscess caused by fishbone puncture through the stomach wall and into the liver: A case report

Endoscopic salvage extraction of a fish bone impacted in a liver abscess by extra-anatomic cholangioscopy

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