Hepatic abscesses secondary to a foreign body in the common bile duct

Rodríguez, Laura Carballo; Montesinos, Inmaculada Ruiz; Agüero, Raúl Jiménez; Gómez, Adolfo Beguiristain

doi:10.17235/reed.2017.4873/2017

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…This can be achieved through a variety of approaches ranging from interventional radiology (image guided) approach to laparoscopic or formal, open surgery. However, 9.5% of cases can resolve with the FB left in place [ 1 , 4 - 9 ], whilst 6.8% reported to successfully manage the liver abscess with medical treatment only in the form of antibiotics [ 1 , 4 , 6 - 8 ]. In our case, the diagnosis was established on presentation with the reference CT scan.…”

Section: Discussionmentioning

confidence: 99%

Migrated fish bone induced liver abscess: medical management

Allam

Pericleous

2020

Pan Afr Med J

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Section: Discussionmentioning

confidence: 99%

Migrated fish bone induced liver abscess: medical management

Allam

Pericleous

2020

Pan Afr Med J

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“…2d). Only a relatively small proportion of people used the methods of conservative treatment [5–7], PTC [8–12] and ESWL [13]. The vast majority of victims (92 accounts for 63.89%) recovered uneventfully and were perfectly well at the follow-up clinical examination, but for others the CBD foreign body migration was an omen of misfortune and disaster, it pushed through victims with long-term problems or complications, such as pancreatitis [27], recurrence of cholesterol stones [90, 92], bile leak [90, 99, 127], subhepatic abscess [127], even death [80, 81].…”

Section: Case Presentationmentioning

confidence: 99%

“…Nevertheless, patients with secondary choledocholithiasis often have a history of cholecystectomy, EPCP, war-wound, foreign body ingestion, or other particular histories, which need to be paid great attention when diagnosing. The primary treatments for choledocholithiasis are surgery and ERCP currently, and a relatively small proportion of people adopted the methods of conservative treatment [5–7], PTC [8–12] and ESWL [13]. Herein, we report a case of choledocholithiasis caused by fishbone and review all the case reports of choledocholithiasis produced by foreign bodies.…”

Section: Introductionmentioning

confidence: 99%

Acute obstructive cholangitis due to fishbone in the common bile duct: a case report and review of the literature

Huang

Lin

et al. 2019

BMC Gastroenterol

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BackgroundCholedocholithiasis is an endemic condition in the world. Although rare, foreign body migration with biliary complications needs to be considered in the differential diagnosis for patients presenting with typical symptoms even many years after cholecystectomy, EPCP, war-wound, foreign body ingestion or any other particular history before. It is of great clinical value as the present review may offer some help when dealing with choledocholithiasis caused by foreign bodies.Case presentationWe reported a case of choledocholithiasis caused by fishbone from choledochoduodenal anastomosis regurgitation. Moreover, we showed up all the instances of choledocholithiasis caused by foreign bodies published until June 2018 and wrote the world’s first literature review of foreign bodies in the bile duct of 144 cases. The findings from this case suggest that the migration of fishbone can cause various consequences, one of these, as we reported here, is as a core of gallstone and a cause of choledocholithiasis.ConclusionThe literature review declared the choledocholithiasis caused by foreign bodies prefer the wrinkly and mainly comes from three parts: postoperative complications, foreign body ingestion, and post-war complications such as bullet injury and shrapnel wound. The Jonckheere-Terpstra test indicated the ERCP was currently the treatment of choice. It is a very singular case of choledocholithiasis caused by fishbone, and the present review is the first one concerning choledocholithiasis caused by foreign bodies all over the world.

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A case of a common bile duct stone that formed around a fish bone as a nidus after distal gastrectomy with Roux-en-Y reconstruction

2021

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Background The presence of a foreign body in the common bile duct (CBD) is a rare phenomenon. Thus, the route and mechanism of its migration remain difficult to fully clarify, especially for cases that occur after gastrectomy with Roux-en-Y reconstruction. Herein, we present a case of a CBD stone that formed around a fish bone as a nidus subsequent to distal gastrectomy with Roux-en-Y reconstruction. Case presentation A 70-year-old man was admitted to our hospital due to repeated episodes of epigastralgia. He had undergone distal gastrectomy with Roux-en-Y reconstruction for gastric cancer approximately 10 years prior. Blood tests revealed obstructive jaundice, hepatobiliary dysfunction, and inflammation. Multi-plane reconstructed computed tomography (CT) revealed a CBD stone with a needle-shaped calcification density at the center, oriented along the length of the CBD. Surgery was performed using an upper median laparotomy approach. Lithotomy with choledochotomy was performed to remove one fragile bilirubin stone that had formed around a 3-cm, needle-shaped fish bone. A choledochoduodenal fistula was not detected intraoperatively. A review of the imaging of a prior examination revealed that the formation of the CBD stone around the fish bone was observable on a follow-up CT performed approximately 2 years prior. However, no clinical symptoms associated with the migration of the fish bone to the CBD were reported and the fish bone was not detected at that time. Conclusion In this case, transpapillary migration of the fish bone could only be speculated in the absence of an observable fistula, choledochostomy, or any clinical symptoms. Our case is clinically relevant as cholangitis developed after CBD stone formation around the fish bone that acted as a nidus.

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Hepatic abscesses secondary to a foreign body in the common bile duct

Cited by 3 publications

References 3 publications

Migrated fish bone induced liver abscess: medical management

Migrated fish bone induced liver abscess: medical management

Acute obstructive cholangitis due to fishbone in the common bile duct: a case report and review of the literature

A case of a common bile duct stone that formed around a fish bone as a nidus after distal gastrectomy with Roux-en-Y reconstruction

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