A Fish Bone in the Liver Abscess with Intestinal Obstruction

IF 0.4 4区 医学 Q4 SURGERY
Catherine Halam, Ankita Singh, Devender Singh, Sunil Chumber
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Abstract

Liver abscess is a rare complication associated with the ingestion of foreign bodies such as fish bone, which migrates to the liver through gastrointestinal tract. Here, we are reporting one such case of fish bone induced liver abscess that presented with acute small intestinal obstruction. On preoperative imaging, there was evidence of left lobe liver abscess with distal ileal transition point for obstruction and ascites. However, intraoperatively to our surprise, a foreign body, i.e., fish bone, was retrieved from liver abscess cavity, apart from ruptured liver abscess, and adhesive small bowel obstruction in distal ileum. This foreign body was identified later on revisiting the contrast-enhanced computed tomography abdomen post-operatively. We are reporting rare incidence to discuss presentation and adequate management.

Abstract Image

肝脓肿中的鱼骨伴肠梗阻
肝脓肿是一种罕见的并发症,与摄入鱼骨等异物有关,这些异物会通过胃肠道转移到肝脏。在此,我们报告了一例鱼骨诱发肝脓肿的病例,患者出现急性小肠梗阻。术前造影显示,患者左叶肝脓肿,远端回肠过渡点梗阻,并伴有腹水。然而,令我们惊讶的是,术中除了肝脓肿破裂和回肠远端粘连性小肠梗阻外,还从肝脓肿腔中取出了异物,即鱼骨。术后再次进行腹部造影剂增强计算机断层扫描时发现了这一异物。我们报告这种罕见的异物,是为了讨论其表现和适当的处理方法。
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来源期刊
CiteScore
0.60
自引率
25.00%
发文量
412
审稿时长
6-12 weeks
期刊介绍: The Indian Journal of Surgery is the official publication of the Association of Surgeons of India that considers for publication articles in all fields of surgery. Issues are published bimonthly in the months of February, April, June, August, October and December. The journal publishes Original article, Point of technique, Review article, Case report, Letter to editor, Teachers and surgeons from the past - A short (up to 500 words) bio sketch of a revered teacher or surgeon whom you hold in esteem and Images in surgery, surgical pathology, and surgical radiology. A trusted resource for peer-reviewed coverage of all types of surgery Provides a forum for surgeons in India and abroad to exchange ideas and advance the art of surgery The official publication of the Association of Surgeons of India 92% of authors who answered a survey reported that they would definitely publish or probably publish in the journal again The Indian Journal of Surgery offers peer-reviewed coverage of all types of surgery. The Journal publishes Original articles, Points of technique, Review articles, Case reports, Letters, Images and brief biographies of influential teachers and surgeons. The Journal spans General Surgery, Pediatric Surgery, Neurosurgery, Plastic Surgery, Cardiothoracic Surgery, Vascular Surgery, Rural Surgery, Orthopedic Surgery, Urology, Surgical Oncology, Radiology, Anaesthesia, Trauma Services, Minimal Access Surgery, Endocrine Surgery, GI Surgery, ENT, Colorectal Surgery, surgical practice and research. The Journal provides a forum for surgeons from India and abroad to exchange ideas, to propagate the advancement of science and the art of surgery and to promote friendship among surgeons in India and abroad. This has been a trusted platform for surgons in communicating up-to-date scientific informeation to the community.
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