The case of a migratory fish bone

Reza Motallebzadeh1, Katharine Rutter1, Periyathambi Jambulingam1

  • 1Department of Surgery, Luton & Dunstable Hospital Lewsey Road, Luton, LU4 0DZ, United Kingdom.

Clinical Case Reports
|October 31, 2014
PubMed
Abstract

Insights

A migrated ingested foreign body caused a liver abscess in this case. Endoscopic removal successfully treated the condition, avoiding the need for surgery.

Area of Science:

  • Gastroenterology
  • Hepatology
  • Interventional Endoscopy

Background:

  • Liver abscesses can arise from various causes, including parasitic and bacterial infections.
  • Foreign body ingestion is a known risk factor for gastrointestinal complications, but migration to the liver is rare.

Purpose of the Study:

  • To report a rare case of liver abscess secondary to a migrated ingested foreign body.
  • To highlight the successful endoscopic management of this complex clinical scenario.

Main Methods:

  • A case study detailing the diagnostic and therapeutic approach.
  • Review of relevant medical literature on foreign body ingestion and liver abscesses.

Main Results:

  • The patient presented with a liver abscess attributed to a foreign body that had perforated the stomach wall and migrated.
  • Minimally invasive endoscopic removal of the foreign body was achieved.
  • The patient recovered without requiring exploratory laparotomy.

Conclusions:

  • Ingested foreign bodies can lead to unusual intra-abdominal complications like liver abscesses.
  • Endoscopic intervention is a viable and effective treatment option, potentially avoiding major surgery in select cases.

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