Open AccessLaparoscopic retrieval of a fishbone migrating from the stomach causing a liver abscess: Report of case and literature review
Author(s) -
Or Barkai,
Yoram Kluger,
Offir Ben-Ishay
Publication year - 2020
Publication title -
journal of minimal access surgery
Language(s) - English
Resource type - Journals
eISSN - 0972-9941
pISSN - 1998-3921
DOI - 10.4103/jmas.jmas_196_19
Subject(s) - medicine , liver abscess , exploratory laparotomy , perforation , abscess , surgery , laparotomy , laparoscopy , stomach , epigastric pain , radiology , general surgery , gastroenterology , vomiting , punching , materials science , metallurgy
Ingestion of foreign bodies (FBs) is a common misfortune worldwide. Fishbone migration from the gastrointestinal tract into the liver is an unusual cause of liver abscess. We present a 66-year-old woman who presented to the emergency department with epigastric pain, with no other relevant anamnestic details. Computed tomography scan revealed a liver abscess, secondary to stomach perforation from a long, sharp object. Diagnostic laparoscopy revealed a fishbone protruding from the left lobe of the liver. The FB was extracted and the liver abscess incised and drained laparoscopically with no operative and post-operative complications. Migration of FB into the liver is a rare occurrence. Treatment of such liver abscess must include the extraction of the FB. Laparoscopy in these cases is feasible and safe and may prevent unnecessary exploratory laparotomy.