Migrated fish bone induced liver abscess: medical management

Allam, Moustafa; Pericleous, Stephanos

doi:10.11604/pamj.2020.36.140.23783

Cited by 4 publications

(3 citation statements)

References 7 publications

(19 reference statements)

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“…CT scanning has also proven its benefit in diagnosis, where a linear calcified lesion is very frequently demonstrated with a sensitivity of 71.4%, increasing to 100% 9 .…”

Section: Discussionmentioning

confidence: 99%

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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“…CT scanning has also proven its benefit in diagnosis, where a linear calcified lesion is very frequently demonstrated with a sensitivity of 71.4%, increasing to 100% 9 .…”

Section: Discussionmentioning

confidence: 99%

Parietal mass caused by a fish bone: case report

Erguibi

Kamal

Eddaoudi

et al. 2023

Annals of Medicine &Amp; Surgery

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“…A sample of definitive treatment using laparoscopic extraction of the fishbone has been documented in nine case reports from 2012 to 2019 without recurrence of symptoms [13] . Multiple case reports have demonstrated good outcomes with surgical drainage, culture for targeted antibiotics coverage, and extraction [ 12 , 14 ]. Prior to 2010, laparotomy was the most used surgical intervention for definitive treatment but has fallen out of favor in lieu of less invasive procedures [9] .…”

Section: Discussionmentioning

confidence: 99%

CT diagnosis and laparoscopic treatment of hepatic abscess secondary to fish bone transmigration through the stomach wall

Hyndman,

Chaudhary,

Kettyle

et al. 2023

Radiology Case Reports

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“…Most patients have non-specific symptoms and the preoperative diagnosis of bacterial liver abscess caused by foreign bodies can be challenging [6,7]. As the delayed diagnosis of liver abscess caused by foreign bodies may lead to a lifethreatening infection, the complications should be comprehensively assessed by the medical history of the patient, laboratory examination, and imaging manifestation.…”

Section: Discussionmentioning

confidence: 99%

Laparoscopic Treatment of Liver Abscess by a Fishbone Impaction: A Case Report

et al. 2021

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Bacterial liver abscesses caused by ingested bodies are very uncommon. In the current report, a unique case of a 50-year-old man associated with diabetes mellitus who suffered from sepsis and a liver abscess because of the migration of a fishbone that lodged in the left hepatic lobe is presented. The diagnosis was confirmed by enhanced computed tomography examination of the upper abdomen. The patient subsequently underwent laparoscopic surgery, and was discharged on postoperative day 12 without any complications. The present study discusses the clinical features and treatment of this case.

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Migrated fish bone induced liver abscess: medical management

Cited by 4 publications

References 7 publications

Parietal mass caused by a fish bone: case report

Parietal mass caused by a fish bone: case report

CT diagnosis and laparoscopic treatment of hepatic abscess secondary to fish bone transmigration through the stomach wall

Laparoscopic Treatment of Liver Abscess by a Fishbone Impaction: A Case Report

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