scholarly journals EP.TH.691Necrotic Liver Abscess secondary to Duodenal Perforation caused by ingestion of a Fish Bone – A Case Report

2021 ◽  
Vol 108 (Supplement_7) ◽  
Author(s):  
Shazmeen Surtee ◽  
Adam O'Connor ◽  
Mazyar Fani ◽  
Ahmed Hassan ◽  
Thomas Satyadas ◽  
...  
Keyword(s):  
Case Report ◽  
Foreign Bodies ◽  
Hepatic Abscess ◽  
Fish Bone ◽  
Magnetic Resonance Images ◽  
Source Control ◽  
Duodenal Wall ◽  
Duodenal Perforation ◽  
Lower Quadrant ◽  
Endoscopic Retrieval

Abstract Introduction Ingestion of foreign bodies are not uncommon, however enterohepatic migration of fish bones causing liver abscesses remains a rare phenomenon. Case Report We present the case of a 58-year-old female admitted with 11 days history of fever, rigors, shortness of breath and malaise associated with vomiting and diarrhoea. Her COVID-19 rapid antigen test was negative. She was tender in the left lower quadrant of her abdomen and inflammatory markers were markedly high so initial differential diagnosis included colitis and diverticulitis. Contrast Computed Tomography of the abdomen and pelvis showed an 8.1cm irregular hepatic lesion initially thought to be a multi-loculated abscess, malignancy or complex cyst. She was started on broad-spectrum antibiotics, escalated to Intensive Care Unit (ICU) and discussed at the hepato-biliary multi-disciplinary team (MDT) where magnetic resonance images demonstrated a perforated duodenum from a 2.5cm fish bone penetrating from the duodenal wall into the liver parenchyma causing a necrotic abscess. She underwent percutaneous drainage of the hepatic abscess. Endoscopic retrieval was then attempted; however, the fish bone was not visualised. Definitive management followed with laparoscopic removal of the fish bone and primary duodenal repair. Discussion Identification of the cause of the abscess during MDT discussion enabled prompt source control which was key in managing intra-abdominal sepsis – radiological drainage in the first instance prevented secondary peritonitis from a potentially ruptured abscess and enabled the patient to be de-escalated from ICU. Previous literature suggests endoscopic retrieval however, laparoscopic surgery remains safer for managing complications following removal of sharp foreign bodies.

scholarly journals Accidentally swallowed toothbrush in mentally healthy patient: A case report and review of literature

2021 ◽  
Vol 4 (1) ◽  
Author(s):  
Usman M. Bello ◽  
Mamuda Atiku
Keyword(s):  
Case Report ◽  
Foreign Bodies ◽  
Duodenal Perforation ◽  
Healthy Patient ◽  
Endoscopic Removal ◽  
Review Of Literature ◽  
Endoscopic Retrieval ◽  
Mini Laparotomy ◽  
Is Failure ◽  
Surgical Option

Most ingested foreign bodies are usually passed through the gastrointestinal tract. Ingested toothbrush however is almost never passed due to their long length, which doesn’t negotiate the C-loop of the duodenum. Early endoscopic removal is however recommended to reduce chances of morbidity and mortality. Surgical option is considered when there is failure of endoscopic retrieval or when complication such as duodenal perforation has set in. In this case we present a 40-years-old man who accidentally ingested toothbrush that was removed surgically through mini laparotomy and gastrostomy.

scholarly journals Migrated pharyngeal fish bone causing spondylodiscitis. Case report

2014 ◽  
Vol 13 (1) ◽  
pp. 67-68 ◽  
Author(s):  
Aluizio Augusto Arantes Júnior ◽  
Jose Augusto Malheiros ◽  
Marco Tulio Domingos Silva e Reis ◽  
Gustavo Meyer de Moraes
Keyword(s):  
Case Report ◽  
Cervical Spine ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Fish Bone ◽  
Emergency Rooms ◽  
Infectious Process ◽  
Fish Bones ◽  
First Case ◽  
Longus Colli

Ingestion of foreign bodies is a common problem seen at emergency rooms and frequently involves chicken and fish bones. There are few cases of migrated foreign bodies through the retropharynx causing infectious process in the area but no one, despite the proximity, causing spondylodiscitis. Perhaps such condition is attributed to the integrity of the longus colli fascia covering and protecting the cervical spine. We described the first case of spondylodiscitis due to a foreign body (saw-toothed fish bone) that penetrated the longus colli fascia and carved into vertebral body C3.

scholarly journals Ingested Fish Bone: An Unusual Mechanism of Duodenal Perforation and Pancreatic Trauma

2012 ◽  
Vol 2012 ◽  
pp. 1-3 ◽  
Author(s):  
Dimitrios Symeonidis ◽  
Georgios Koukoulis ◽  
Ioannis Baloyiannis ◽  
Apostolos Rizos ◽  
Ioannis Mamaloudis ◽  
...  
Keyword(s):  
Foreign Body ◽  
Epigastric Pain ◽  
Elevated Serum ◽  
Delayed Diagnosis ◽  
Pancreatic Head ◽  
Fish Bone ◽  
Postoperative Recovery ◽  
Intestinal Lumen ◽  
Duodenal Wall ◽  
Duodenal Perforation

Ingestion of gastrointestinal foreign bodies represents a challenging clinical scenario. Increased morbidity is the price for the delayed diagnosis of complications and timely treatment. We present a case of 57-year-old female patient which was admitted in the emergency room department complaining of a mid-epigastric pain over the last twenty-four hours. Based on the patient's history, physical examination and elevated serum amylase levels, a false diagnosis of pancreatitis, was initially adopted. However, a CT scan confirmed the presence of a radiopaque foreign body in the pancreatic head and the presence of air bubbles outside the intestinal lumen. The patient was unaware of the ingestion of the foreign body. At laparotomy, after an oblique duodenotomy, a fish bone pinned in the pancreatic head after the penetration of the medial aspect of the second portion of the duodenal wall was identified and successfully removed. The patient had an uneventful postoperative recovery. Wide variation in clinical presentation characterizes the complicated fish bone ingestions. The strategically located site of penetration in the visceral wall is responsible for the often extraordinary gastrointestinal tract injury patterns. Increased level of suspicion is of paramount importance for the timely diagnosis and treatment.

A foreign body (a fish bone) in the esophagus translocating into soft tissues of the neck – a case report

2019 ◽  
Vol 8 (1) ◽  
pp. 56-59
Author(s):  
Magda Licznerska-Kreczko ◽  
Jerzy Kuczkowski ◽  
Tomasz Nowicki ◽  
Maciej Świerblewski ◽  
Andrzej Skorek
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Antibiotic Prophylaxis ◽  
Digestive Tract ◽  
Foreign Bodies ◽  
Soft Tissues ◽  
Atlantic Cod ◽  
Fish Bone ◽  
Endoscopic Removal ◽  
Key Words Foreign Body

Background: Patients with foreign bodies in upper digestive tract not infrequently trigger many diagnostic and treatment challenges, especially when foreign bodies translocate and are lodged outside the esophagus. Case report: We present a case of a foreign body in esophagus 56-years old woman who had developed persistent sensation of an obstacle in her throat after eating fish (Atlantic cod). She has initially dismissed her symptoms and refused medical treatment. Subsequently, a neck CT done one week later showed a 20-milimeter long fish bone in the soft tissues on the left side of her neck (between pharynx and vertebral column). Few attempts of endoscopic removal were unsuccessful. Despite antibiotic prophylaxis and due to the fish bone translocation into soft tissues of the neck and its location close to a common carotid artery and an internal jugular vein a decision was made to remove it from the external approach. The foreign body was successfully removed without any esophageal damages. Conclusions: Foreign bodies in digestive tract may result in many life-threatening complications. The fundamental management is based on the endoscopic removal of a foreign body and the antibiotic prophylaxis. In case of foreign bodies lodged in soft tissues open surgery is recommended. Key words: foreign body in the esophagus; fish bone; paraesophageal abscess ; treatment

Ruptured Hepatic Abscess Caused by Fish Bone Penetration of the Duodenal Wall: Report of a Case

Surgery Today ◽  
2007 ◽  
Vol 37 (11) ◽  
pp. 1018-1021 ◽  
Author(s):  
Yoshihiko Kadowaki ◽  
Ryuji Tamura ◽  
Takahiro Okamoto ◽  
Takeki Mori ◽  
Takashi Mori
Keyword(s):  
Hepatic Abscess ◽  
Fish Bone ◽  
Duodenal Wall

scholarly journals Hepatic Abscess Induced by Fish Bone Migration: Two Case Reports

2018 ◽  
Vol 31 (5) ◽  
pp. 276 ◽  
Author(s):  
José Eduardo Mateus ◽  
Carlos Silva ◽  
Sofia Beirão ◽  
Jorge Pimentel
Keyword(s):  
Septic Shock ◽  
Gastrointestinal Tract ◽  
Foreign Bodies ◽  
Clinical Presentation ◽  
Case Reports ◽  
Age Groups ◽  
Hepatic Abscess ◽  
Fish Bone ◽  
Common Occurrence ◽  
History Of

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.

Foreign body in the tongue: an unusual site for a common problem

1991 ◽  
Vol 105 (10) ◽  
pp. 849-850 ◽  
Author(s):  
Kalpesh S. Patel
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Fish Bone ◽  
Aerodigestive Tract ◽  
Upper Aerodigestive Tract ◽  
Unusual Site ◽  
Rare Site ◽  
Frequent Problem

AbstractForeign bodies in the upper aerodigestive tract represent one of the commonest ENT emergencies. A case report of a fish bone penetrating the anterior tongue is presented which exemplifies this frequent problem. but at a rare site.

scholarly journals Obstructive Sialadenitis of Submandibular Gland Due to a Nail-like Fish Bone Foreign Body: A Rare Case Report

2019 ◽  
pp. 1-7
Author(s):  
Rosa Mostafavi Tabatabaee ◽  
Majid Sanatkhani
Keyword(s):  
Case Report ◽  
Foreign Body ◽  
Submandibular Gland ◽  
Foreign Bodies ◽  
Fish Bone ◽  
Pathological Examination ◽  
Radiographic Examination ◽  
Spontaneous Pain ◽  
Submandibular Region ◽  
Obstructive Sialadenitis

Introduction: Foreign body-associated sialadenitis of submandibular gland is not often and scarce within the literature. In this study, a report of a piece of Nail-like fish bone foreign body entering the Wharton’s duct causing an acute sialadenitis is presented. Foreign bodies must be explored and all suspected areas must be examined carefully for avoiding secondary problems and surgeries in the future. Foreign bodies in the oral and maxillofacial region are often experienced after trauma and dental treatment. Case Report : We describe a case of obstructive sialadenitis in the submandibular gland caused by penetration of a fish bone in a 68-year-old man. He had swelling and spontaneous pain in the left submandibular region. The radiographic examination didn't show foreign body in the submandibular gland. Initially, we diagnosed obstructive sialadenitis in the left submandibular gland and the study suspect that salivary stone might be the cause of this swelling so compressing and milking of Wharton duct. The foreign body measured 1.3 cm *3 mm*2 mm and was a nail-like object. On pathological examination, the foreign body was found to be a fish bone (cartilage-like organic material). Conclusion: This case demonstrated that precise and proper inspection and examination, milking and then paying attention to the secretion of salivary gland lead to proper diagnosis and after that suitable treatment, so this could reduce costly assessment and treatment, also lessen bewilderment of the patient.

Radiofrequency Ablation of the Pancreas: Protective Effect of Local Cooling Techniques

2015 ◽  
Vol 81 (5) ◽  
pp. 483-491
Author(s):  
Angelos Geranios ◽  
Emmanouil Pikoulis ◽  
Apostolos Papalois ◽  
Michael Kontos ◽  
George Agrogiannis ◽  
...  
Keyword(s):  
Radiofrequency Ablation ◽  
Superior Mesenteric Vein ◽  
Hepatic Abscess ◽  
Duodenal Wall ◽  
Duodenal Perforation ◽  
Solid Organ ◽  
Local Cooling ◽  
Mesenteric Vein ◽  
Group A ◽  
Group B

Pancreatic carcinoma is one of the commonest malignant diseases today and the majority of patients are suitable for palliative treatment only. Radiofrequency ablation (RFA) has been used extensively for the treatment of solid organ tumors but little is known on the efficacy and safety of pancreatic ablation. To further investigate the safety of pancreatic RFA, 18 pigs had RFA of the pancreas, close to superior mesenteric vein and duodenum. Group A (nine animals) was protected with peripancreatic cool perfusion and Group B (nine animals) with portal vein (PV) intravenous injection of cool saline. Biochemical and histological evidence suggested lateral thermal injury of the duodenal wall and superior mesenteric vein and acute pancreatitis in most animals. However, clinically and at autopsy, Group B animals fared much better. PV thrombosis, hepatic abscess, duodenal perforation, ascites, and extensive pancreatic necrosis were observed in Group A but not in Group B. The present study suggests that PV cool saline perfusion can prevent major complications caused by pancreatic RFA and may be used in combination with other protective techniques in the clinical setting to reduce RFA-associated morbidity.

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