Laparoscopic retrieval of a sewing needle from the liver: A case report

Carver, David H.; Martel, Guillaume; Bertens, Kimberly A.; Abou‐Khalil, Jad; Balaa, Fady

doi:10.1016/j.ijscr.2018.09.012

Cited by 13 publications

(11 citation statements)

References 15 publications

(26 reference statements)

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“…About 2% of foreign bodies should be extracted through surgery. [13,14] Once a foreign body is stuck in the digestive tract, people in many regions of China tend to swallow the foreign body by swallowing steamed bread or rice and vegetable rolls. However, this method is not recommended as it may cause incarceration of the foreign body, aggravating the disease, and increasing treatment risk.…”

Section: Discussion and Analysismentioning

confidence: 99%

Liver abscess caused by ingestion of fishbone

Zhao

Lei

et al. 2019

Medicine

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Rationale: The penetration of a foreign body through the stomach wall and causing liver abscess is rare. A case of liver abscess caused by secondary bacterial infection was reported in the current study. Patient concerns: A 58-year-old male patient had a history of eating fish and presented with recurrent fever with chills. The patient had a previous fever for 9 days without any obvious inducement and the highest body temperature rose to 40.8°C, along with fear of cold and chills. Body temperature declined to normal value after 5 days of infusion treatment (drugs were unknown) in the local clinic. Two days afterward, his body temperature again rose to 40.3°C at its highest. Diagnosis and intervention: Abdominal computed tomography (CT) showed that there was a quasicircular low-density focus in the left hepatic lobe which was most likely a liver abscess. A dense strip was found in proximity to the left hepatic lobe, implying the retention of a catheter in the upper abdominal cavity or a foreign body. On conditions of related preoperative preparations and general anesthesia, the left hepatic lobe was resected with the laparoscope. During the operation, a fish bone was found in the liver. Postoperative symptomatic and supportive treatment was carried out without antibiotics for liver protection. Outcomes: The patient was cured through surgical treatment and found to be in a good condition. The patient was successfully discharged and recovered well in the follow-up visit 3 months after the operation. Lessons: Liver abscess caused by fish spines is rare. The contrast-enhanced CT of the abdomen and the minimally invasive abdominal operation both played critical roles in the diagnosis and treatment of the case. The general population, who mistakenly eat fish bones, should seek medical treatment as soon as possible.

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Section: Discussion and Analysismentioning

confidence: 99%

Liver abscess caused by ingestion of fishbone

Zhao

Lei

et al. 2019

Medicine

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“…Therefore, further investigations, such as ultrasound or CT scan, are usually needed. A CT scan is recommended as a routine examination before surgery [ 42 , 43 ]. In our review, seven out of 16 patients underwent a CT scan [ 2 , 4 , 16 , 17 , 18 , 19 , 20 ] preoperatively.…”

Section: Discussionmentioning

confidence: 99%

Epidemiology and Surgical Management of Foreign Bodies in the Liver in the Pediatric Population: A Systematic Review of the Literature

et al. 2022

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Retention of foreign bodies (FB) in the liver parenchyma is a rare event in children but it can bring a heavy burden in terms of immediate and long-term complications. Multiple materials can migrate inside the liver. Clinical manifestations may vary, depending on the nature of the foreign body, its route of penetration and timing after the initial event. Moreover, the location of the FB inside the liver parenchyma may pose specific issues related to the possible complications of a challenging surgical extraction. Different clinical settings and the need for highly specialized surgical skills may influence the overall management of these children. Given the rarity of this event, a systematic review of the literature on this topic was conducted and confirmed the pivotal role of surgery in the pediatric population.

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“…Some authors have reported retrieval of sharp foreign bodies. 8,9 The young trainee surgeon should have acquired the skill of intra-corporeal suturing technique. He should have mastered the act, especially during laparoscopic cholecystectomy, appendicectomy, and the likes.…”

Section: Discussionmentioning

confidence: 99%

Minimal Access Surgical Experience in Developing Economy: A Young Trainee Stimulant

Igwe¹

2021

World Journal of Laparoscopic Surgery With DVD

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Background:The utilization of minimal access surgery (MAS) is rising in developing countries. Robotic surgery is rarer. The mirage surrounding operating with a telescope is completely changing the dimension of surgery. A young trainee finds it difficult to properly perform this surgery. Aim and objective: This study aimed to elucidate an experience of minimal access surgeons practicing in a developing economy with the hope of stimulating a young trainee surgeon in the same field of study. Materials and methods: This was a review of prospectively collected data of cases performed, stored electronically in an Excel spreadsheet and statistical software, Epi info, from December 2017 to March 2020. This review included laparoscopic procedures, colonoscopies, and esophagogastroduodenoscopies (OGD) performed by the author in a tertiary hospital and two private centers. It excluded all cases assisted by the author. The results were analyzed using statistical software, SPSS version 23. Results: A total of 195 cases were performed. Esophagogastroduodenoscopies consisted of a maximum of 114 cases. This was followed by colonoscopies (52 cases), and laparoscopy (29 cases). The laparoscopic cases consisted of laparoscopic cholecystectomy (6), diagnostic laparoscopy (11), laparoscopic appendectomies (8), laparoscopic fundoplication (1), and foreign body retrieval (1). This study showed a gradual shift from mild to more complex minimal access procedures. Conclusion:Performing minimal access procedures requires extensive training. Findings from this study will guide a young trainee in a developing economy to perform the easily available surgery procedures.

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Laparoscopic retrieval of a sewing needle from the liver: A case report

Abstract: HighlightsIngested foreign bodies are a common presentation.Ingested foreign bodies can migrate/penetrate to the liver.Patients can present with symptoms including epigastric abdominal pain.In some cases hepatic foreign bodies can be extracted through a laparoscopic approach.

Cited by 13 publications

References 15 publications

Liver abscess caused by ingestion of fishbone

Liver abscess caused by ingestion of fishbone

Epidemiology and Surgical Management of Foreign Bodies in the Liver in the Pediatric Population: A Systematic Review of the Literature

Minimal Access Surgical Experience in Developing Economy: A Young Trainee Stimulant

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