Unusual liver abscess secondary to ingested foreign body: laparoscopic management

Panebianco, Annarita; Rc, Lozito; Prestera, Antonio; P, Ialongo; Volpi, A; Carbotta, Giuseppe; Palasciano, Nicola

doi:10.11138/gchir/2015.36.2.074

Cited by 8 publications

(9 citation statements)

References 9 publications

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“…e formation of liver abscess secondary to a foreign body ingestion is extremely rare. Most foreign bodies that are ingested pass through the gastrointestinal tract within 1 week [1]. ere are a variety of foreign bodies that are ingested that have caused liver abscess.…”

Section: Discussionmentioning

confidence: 99%

“…e foreign bodies ingested range from toothpicks, shbone, needles, chicken bones, pens, and dentures. Toothpicks are the most common foreign body ingested followed by shbones [1]. Since the rst case reported by Lambert in 1898, there have been 88 cases of hepatic abscess caused by a foreign body ingestion [2].…”

Section: Discussionmentioning

confidence: 99%

“…Since the rst case reported by Lambert in 1898, there have been 88 cases of hepatic abscess caused by a foreign body ingestion [2]. Of these cases 33% are due to the ingestion of a shbone [1]. As the foreign body passes through the alimentary tract there are several locations where the foreign body tends to lodge.…”

Section: Discussionmentioning

confidence: 99%

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Retained Foreign Body Causing a Liver Abscess

Sim

Sheth

2019

Case Reports in Emergency Medicine

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Introduction. A liver abscess caused by fishbone ingestion is extremely rare in the Emergency Department. Case Report. We report a case of a middle-aged female who presented to the Emergency Department with nonspecific symptoms. Computed tomography showed a liver abscess that had formed secondary to a fishbone. The patient was treated conservatively initially and subsequently with percutaneous drainage and finally with open drainage. Her condition improved and she was discharged from the hospital with the foreign body still in-situ. Conclusion. This case is one of six cases in literature where the patient has been discharged successfully from the hospital with a retained fishbone. It also demonstrates the difficulty of diagnosing a foreign body causing a liver abscess and the multiple treatment modalities used to treat a liver abscess caused by fishbone.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Retained Foreign Body Causing a Liver Abscess

Sim

Sheth

2019

Case Reports in Emergency Medicine

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“…Pyogenic hepatic abscess caused by an ingested foreign body is a very unusual case and laparoscopic treatment of it has rarely been reported. [3][4][5][6][7] Although a hepatic abscess has classic symptoms of fever, pain and jaundice, those patients with hepatic abscess caused by a gastrointestinal foreign body usually manifest nonspecific symptoms (fever, anorexia, pain, etc.) and this condition can be silent.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Treatment of Hepatic Abscess Caused by an Ingested Foreign Body

Kim

Park

et al. 2019

J Minim Invasive Surg

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Pyogenic hepatic abscess caused by an ingested foreign body is extremely uncommon, and reports on the laparoscopic treatment for it 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. A 61-year-old man visited an emergency room with the chief complaints of high fever. He was diagnosed with pyogenic liver abscess that contained a sharp calcified foreign body seen on a CT-scan. At first, percutaneous transhepatic drainage of the abscess was performed to achieve recovery of the patient's condition. Subsequent laparoscopic exploration found and removed the foreign body in the lesser sac. The foreign body turned out to be an ingested chicken bone. The patient was discharged on the 10th day after surgery.

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“…These foreign bodies will usually pass through the gastrointestinal (GI) tract without event. Less than 1% of these objects will cause perforation of the GI wall, and perforation can lead to a wide range of clinical presentations ranging from acute peritonitis to no symptoms at all [ 1–4 ]. The standard treatment for ingested foreign bodies is endoscopic removal but, in some cases, patients will require laparoscopy or laparotomy for removal [ 7 , 8 ].…”

Section: Introductionmentioning

confidence: 99%

Spontaneous resolution of gastric perforation caused by an ingested foreign body: a case report

Williams

Okoli

2021

Journal of Surgical Case Reports

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Foreign body ingestions are commonly seen and are usually uneventful. Very rarely, ingested foreign bodies will cause perforation of the gastrointestinal tract, which can lead to peritonitis, abscesses or fistulation. This is the case of a patient with vague abdominal pain after voluntary ingestion of bleach and an ink pen. The ink pen was found lodged in the gastric antral wall on esophagogastroduodenoscopy. The foreign body spontaneously migrated into the gastric lumen and was successfully removed with endoscopy.

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Unusual liver abscess secondary to ingested foreign body: laparoscopic management

Cited by 8 publications

References 9 publications

Retained Foreign Body Causing a Liver Abscess

Retained Foreign Body Causing a Liver Abscess

Laparoscopic Treatment of Hepatic Abscess Caused by an Ingested Foreign Body

Spontaneous resolution of gastric perforation caused by an ingested foreign body: a case report

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