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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
Summary
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.
