Large hepatic abscess caused by fish bone

Venkatesh, Sandeep; Sanamandra, Sarat Kumar

doi:10.15537/smj.2015.7.11779

Cited by 6 publications

(3 citation statements)

References 5 publications

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“…The cause might be related to a long, sharp-pointed, and hard fish bone penetrating through the gastric wall during peristalsis with rapid contraction into the adjacent structures, such as the left hepatic lobe near the stomach. In most clinical presentations, the nonspecific features of acute abdominal pain represent a challenging scenario [ 5 ]. Furthermore, the lack of a precise history of fish bone ingestion often leads to a diagnostic dilemma and increases morbidity due to the delayed diagnosis of complications and untimely treatment [ 6 ].…”

Section: Discussionmentioning

confidence: 99%

Unusual Pancreatic Abscess Secondary to Embedded Fish Bone: A Challenging Clinical Scenario

Chen

Hsieh

2022

Diagnostics

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The incidental ingestion of fish bone is common, and the ingested fish bone mostly exits the gastrointestinal tract spontaneously. However, severe complications such as perforation in the digestive tract and abscess formation after a period of time may occasionally occur. Fewer than 10 cases of a migrated fish bone penetrating into the pancreas have been reported in the literature, and the development of a subsequent pancreatic abscess is extremely rare. We present one such rare case of pancreatic abscess formation in a middle-aged woman due to fish bone penetration through the gastric wall into the pancreas 2 months after ingestion and missed on endoscopy initially. Further imaging revealed that the fish bone was partially embedded in the pancreatic head surrounded with abscesses and was smoothly removed through laparoscopy.

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Section: Discussionmentioning

confidence: 99%

Unusual Pancreatic Abscess Secondary to Embedded Fish Bone: A Challenging Clinical Scenario

Chen

Hsieh

2022

Diagnostics

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“…Occasionally the foreign body might migrate into adjacent structures like liver, spleen and form an abscess. 7 Clinical diagnosis is often difficult as patient is unaware of ingesting any foreign body and the incident normally occurs during food intake. For diagnosis x-rays are rarely helpful except for objects which are radioopaque such as metals or chicken bones.…”

Section: Discussionmentioning

confidence: 99%

Gastric perforation due to fish bone ingestion presenting as gastric outlet obstruction: a case report

et al. 2018

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Foreign body ingestion is mostly an accidental incident and usually seen in children than in adults. In adults fish bone ingestion is a common occurrence which is generally asymptomatic and passes through gut without any complications. Ingestion of fish bone leading to gut perforations has been reported and includes distal part of the gastrointestinal tract involving ileum, colon and rectum. Gastric perforation is quiet rare due to its thick muscular wall. Here we present a case of a 65 year old female who presented to our hospital with complains of pain abdomen, vomiting and epigastric lump. On thorough investigation a perforation in the posterior wall of stomach was found along with a fish bone inside an inflammatory lump near the pylorus in the lesser sac, with features of gastric outlet obstruction. Initial conservative management resolved the inflammatory lump and then diagnostic laparoscopy followed by open surgery was performed to retrieve the fish bone. Both open and laparoscopic methods have been successful in retrieving these foreign bodies. Careful investigations and high level of suspicion is required for proper diagnosis and treatment for this benign condition.

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“…[3][4][5][6] As patients hardly ever recall the ingestion event and clinical presentation can be so diverse and nonspecific, diagnosis can be challenging. 1,3,4,7 In this report we describe two cases of fish bone perforation of the GI tract with hepatic perforation and abscess formation that illustrate the difficulty of diagnosis and emphasize the need for attention towards this rare but serious condition.…”

Section: Introductionmentioning

confidence: 89%

Hepatic Abscess Induced by Fish Bone Migration: Two Case Reports

et al. 2018

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Dong J. Two giant peritoneal loose bodies were simultaneously found in one patient: a case report and review of the literature. Int J Surg Case Rep. 2017;36:74-7. RESUMOEmbora a ingestão de corpo estranho seja uma situação relativamente comum, a perfuração e penetração do trato gastrointestinal é pouco frequente e a formação de um abcesso hepático é ainda mais rara. Os autores descrevem dois casos de perfuração do trato gastrointestinal por espinha de peixe com formação de abcesso hepático, pertencentes a grupos etários distintos e com diferente apresentação clínica, embora ambos tenham desenvolvido choque séptico. A ausência de história de ingestão de corpo estranho, a inespecificidade dos resultados dos exames complementares e das manifestações clínicas contribuem para um atraso no diagnóstico e, também por isso, influenciam o próprio prognóstico. ABSTRACT Although foreign body ingestion is a common occurrence, perforation and penetration of the gastrointestinal tract is unusual and the development of a hepatic abscess is even more rare. The authors describe two cases of fish bone perforation of the gastrointestinal tract with hepatic perforation and abscess formation, from distinctive age groups and varying presentation, although both developed septic shock. The lack of history of ingestion of foreign bodies, non-specificity of both clinical presentation and complementary examinations all play a role in delaying the diagnosis and therefore in the prognosis itself.

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Large hepatic abscess caused by fish bone

Cited by 6 publications

References 5 publications

Unusual Pancreatic Abscess Secondary to Embedded Fish Bone: A Challenging Clinical Scenario

Unusual Pancreatic Abscess Secondary to Embedded Fish Bone: A Challenging Clinical Scenario

Gastric perforation due to fish bone ingestion presenting as gastric outlet obstruction: a case report

Hepatic Abscess Induced by Fish Bone Migration: Two Case Reports

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