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UNUSUAL CASE
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Laparoscopic retrieval of a fishbone migrating from the stomach causing a liver abscess: Report of case and literature review


 Division of General Surgery, Rambam Health Care Campus, The Ruth and Bruce Rappaport Faculty of Medicine,Technion Institute of Technology, Haifa, Israel

Correspondence Address:
Offir Ben-Ishay,
Division of General Surgery, Rambam Health Care Campus, 8 Ha’Aliyah Street, Haifa 35254
Israel
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.JMAS_196_19

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.


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    -  Barkai O
    -  Kluger Y
    -  Ben-Ishay O
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2004 Journal of Minimal Access Surgery
Published by Wolters Kluwer - Medknow
Online since 15th August '04