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Liver abscess secondary to fishbone ingestion: case report and review of the literature

We report a rare silent migration of a fishbone into the liver and review the relevant literature. A 56-year-old man presented with a 2-day history of dull epigastric pain and raised inflammatory markers. Computerized tomography scan revealed a 4-cm abscess in the left lobe of the liver, with a line...

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Autores principales: Grayson, Niamh, Shanti, Hiba, Patel, Ameet G
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8846943/
https://www.ncbi.nlm.nih.gov/pubmed/35178243
http://dx.doi.org/10.1093/jscr/rjac026
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author Grayson, Niamh
Shanti, Hiba
Patel, Ameet G
author_facet Grayson, Niamh
Shanti, Hiba
Patel, Ameet G
author_sort Grayson, Niamh
collection PubMed
description We report a rare silent migration of a fishbone into the liver and review the relevant literature. A 56-year-old man presented with a 2-day history of dull epigastric pain and raised inflammatory markers. Computerized tomography scan revealed a 4-cm abscess in the left lobe of the liver, with a linear radio-dense foreign body within the collection. At laparoscopy the hepatogastric fistula was disconnected. The fishbone was retrieved from the liver. Gastrostomy was closed with an omental patch. The patient had an uneventful recovery. Fifty-two cases of liver abscess secondary to enterohepatic fishbone migration were reported with over two-thirds presenting with a left-lobe abscess. There was marked variability in the management of liver abscess in the setting of fishbone migration-summarized in table. We believe that laparoscopic drainage of the abscess and extraction of the foreign body offer control of the source of sepsis and diminishes recurrence, whilst having a low-risk profile.
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spelling pubmed-88469432022-02-16 Liver abscess secondary to fishbone ingestion: case report and review of the literature Grayson, Niamh Shanti, Hiba Patel, Ameet G J Surg Case Rep Case Report We report a rare silent migration of a fishbone into the liver and review the relevant literature. A 56-year-old man presented with a 2-day history of dull epigastric pain and raised inflammatory markers. Computerized tomography scan revealed a 4-cm abscess in the left lobe of the liver, with a linear radio-dense foreign body within the collection. At laparoscopy the hepatogastric fistula was disconnected. The fishbone was retrieved from the liver. Gastrostomy was closed with an omental patch. The patient had an uneventful recovery. Fifty-two cases of liver abscess secondary to enterohepatic fishbone migration were reported with over two-thirds presenting with a left-lobe abscess. There was marked variability in the management of liver abscess in the setting of fishbone migration-summarized in table. We believe that laparoscopic drainage of the abscess and extraction of the foreign body offer control of the source of sepsis and diminishes recurrence, whilst having a low-risk profile. Oxford University Press 2022-02-15 /pmc/articles/PMC8846943/ /pubmed/35178243 http://dx.doi.org/10.1093/jscr/rjac026 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2022. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Grayson, Niamh
Shanti, Hiba
Patel, Ameet G
Liver abscess secondary to fishbone ingestion: case report and review of the literature
title Liver abscess secondary to fishbone ingestion: case report and review of the literature
title_full Liver abscess secondary to fishbone ingestion: case report and review of the literature
title_fullStr Liver abscess secondary to fishbone ingestion: case report and review of the literature
title_full_unstemmed Liver abscess secondary to fishbone ingestion: case report and review of the literature
title_short Liver abscess secondary to fishbone ingestion: case report and review of the literature
title_sort liver abscess secondary to fishbone ingestion: case report and review of the literature
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8846943/
https://www.ncbi.nlm.nih.gov/pubmed/35178243
http://dx.doi.org/10.1093/jscr/rjac026
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