Unusual cause for small bowel obstruction

Zhang, Zheng Andrew; Wah, David Lan Cheong; Aldujaili, Thair

doi:10.1136/bcr-2018-227308

Cited by 1 publication

(1 citation statement)

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“…In this case, EL was the procedure of choice as opposed to laparoscopic surgery given that the patient had a persistent and clearly symptomatic left liver abscess associated with an FB in the hepatoduodenal ligament. FB ingestion is a common occurrence, and although few cases require open surgical intervention, urgent surgical removal is indicated in cases of persistent inflammation leading to unremitting symptoms as was seen in this case [11]. EL is rarely required for ingested FB removal.…”

Section: Discussionmentioning

confidence: 76%

A Rare Case of an Exploratory Laparotomy to Treat a Liver Abscess Secondary to Foreign Body Ingestion

Chavez¹,

Khasnabish²,

Landry³

et al. 2022

Cureus

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A 49-year-old female presented to the hospital with complaints of generalized weakness, subjective fevers, and chills. In the emergency department (ED), she was found to be hypotensive and tachycardic and met the sepsis criteria. A CT scan of the abdomen and pelvis (CT A/P) with contrast revealed a liver abscess and a foreign body (FB) that was suspected to be the cause of the liver abscess. Of note, the patient had undergone a recent dental procedure due to an infected root canal, which had involved a dental screw. The patient was uncertain whether the dental screw had been removed, but she felt as though it was no longer there. At this time, the clinical suspicion was high for FB secondary to this dental procedure. The patient underwent interventional radiology (IR)-guided liver abscess drainage and magnetic resonance cholangiopancreatography (MRCP) for the evaluation of the FB. An esophagogastroduodenoscopy (EGD) was performed, but no evidence of the FB was found. This warranted an exploratory laparotomy (EL) to ensure the successful removal of the FB. Upon gross visualization by surgery, the FB was revealed to be a bone that the patient did not recall ingesting. However, surgical pathology evaluation revealed that the FB was actually a plastic stick. This rare case highlights the clinical approach to FB ingestion when complicated by liver abscess, as well as successful treatment with EL as opposed to laparoscopy which is the procedure of choice.

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Section: Discussionmentioning

confidence: 76%