scholarly journals An Unusual Zoonosis: Liver Abscess Secondary to Asymptomatic Colonic Foreign Body

HPB Surgery ◽  
2010 ◽  
Vol 2010 ◽  
pp. 1-3 ◽  
Author(s):  
Justin S. Gundara ◽  
Richard Harrison
Keyword(s):  
Abdominal Pain ◽  
Foreign Body ◽  
Liver Abscess ◽  
Foreign Bodies ◽  
High Rate ◽  
Gut Epithelium ◽  
Chicken Bone ◽  
Upper Abdominal ◽  
Distal Sigmoid ◽  
Portal Drainage

A liver abscess may arise following any insult to gut integrity allowing portal drainage of bacteria to hepatocytes. Foreign bodies such as bones, toothpicks and items of stationery have previously been implicated in compromising gut epithelium. Here we present the case of a 57 year old man suffering from a left liver abscess. This was defined on CT which incidentally also identified a chicken bone protruding through the wall of the distal sigmoid colon. Whilst unwell with upper abdominal pain and sepsis, the presumed source of portal sepsis within the colon remained asymptomatic throughout. Following percutaneous drainage, the liver abscess resolved but the chicken bone had not passed at two months, necessitating atraumatic removal at colonoscopy. A high rate of incidental diagnoses suggests that unidentified foreign bodies may be vastly under recognised in cases of hepatic sepsis. Thus, identification of the precise mechanism of the liver insult demands thorough consideration; foreign body should be considered in all cases.

scholarly journals Unusual Differential Diagnosis of Upper Abdominal Pain

2009 ◽  
Vol 2009 ◽  
pp. 1-3
Author(s):  
Lanthaler Monika ◽  
Grissmann Thomas ◽  
Schwentner Lukas ◽  
Nehoda Hermann
Keyword(s):  
Abdominal Pain ◽  
Liver Abscess ◽  
Unusual Case ◽  
Foreign Bodies ◽  
Gastric Perforation ◽  
Gastric Wall ◽  
Endoscopic Removal ◽  
Quadrant Pain ◽  
Anterior Gastric Wall ◽  
Upper Abdominal

We here present an interesting unusual case of upper abdominal pain. The patient was a 38-year-old man, who was admitted to our hospital complaining of right upper quadrant pain caused by a toothpick that perforated the anterior gastric wall and penetrated segment I of the liver. After endoscopic removal and an initially uneventful course, computed tomography revealed a perigastric abscess that was treated by repeated gastroscopic rinsing via an endoscopically placed catheter. After another three uneventful weeks, a liver abscess with minor tendency to constrict the portal vein was diagnosed, and a segment I liver resection together with abscess drainage was performed. The peculiarity of this case is the rarity of toothpick ingestion and gastric perforation in a young and healthy white Caucasian followed by development of a liver abscess after primary uneventful endoscopic removal. In light of this case, gastric perforation due to ingested foreign bodies such as toothpicks can be considered a rare cause of upper abdominal pain.

scholarly journals Foreign Body in abdomen

2015 ◽  
Vol 14 (2) ◽  
pp. 210-212
Author(s):  
Md Zakirul Alam ◽  
Mohibul Aziz
Keyword(s):  
Abdominal Pain ◽  
Foreign Body ◽  
Medical Science ◽  
X Ray ◽  
Diagnostic Center ◽  
History Of ◽  
Upper Abdominal ◽  
Married Female

A 19 years old married female presented with severe upper abdominal pain, repeated vomiting having history of swallowing a knife 7 months ago was admitted in Mordern Clinic and Diagnostic center, Joypurhat, Bangladesh. USG abdomen & X-ray (fig-1) abdomen were done when presence of a large foreign body (knife fig-3) in abdomen was made which latter on confirmed by Endoscopy of upper GIT (fig-2). Surprisingly the patient kept it in her abdomen for 7 months without any symptoms until the symptoms got worse and compelled her to seek medical help. The knife was removed by laparotomy, gastrotomy with uneventful recovery.Bangladesh Journal of Medical Science Vol.14(2) 2015 p.210-212

scholarly journals Impacted inter-arytenoid chicken bone

2020 ◽  
Vol 6 (10) ◽  
pp. 1894
Author(s):  
Manish Munjal ◽  
Shikha Gupta ◽  
Tanvir Singh ◽  
Porshia Rishi ◽  
Harjnder Sidhu ◽  
...  
Keyword(s):  
Foreign Body ◽  
Hospital Admission ◽  
Foreign Bodies ◽  
Aerodigestive Tract ◽  
Upper Aerodigestive Tract ◽  
Chicken Bone ◽  
The Common

<p>The anebriated individual with sluggish reflexes is likely to aspirate inadverently fluids, semisolids and solids alike. Fish and chicken preparations with their sharp skeletal bones may lacerate or get entangled in the mucosa of the upper aerodigestive tract. The tonsillar fauces, pyriform fossae, post cricoid region, supraglottis, glottis, subglottis, trachea, carina and either bronchi are the common sites of impaction of sharp-edged foreign bodies. We herein present a case involving a 40-year-old patient who had aspirated a laryngotracheal foreign body (chicken bone) 3 days prior to hospital admission, which was removed by tracheostomy and suspension microlaryngoscopy.  </p>

Chronic intentional chicken bone ingestion mimicking inflammatory bowel disease

2021 ◽  
Vol 14 (6) ◽  
pp. e239022
Author(s):  
Jacob T Dines ◽  
Amie Harvey
Keyword(s):  
Abdominal Pain ◽  
Foreign Body ◽  
Terminal Ileum ◽  
Recent Onset ◽  
Foreign Objects ◽  
Chicken Bone ◽  
Life Threatening ◽  
Bone Fragments ◽  
Endoscopic Retrieval ◽  
Inflammatory Bowel

Ingestion of food by-products, such as peach pits, chicken bones and fish bones, may lead to intestinal complications. The ingestion of the foreign body is often acute and non-intentional. Acute and life-threatening complications include intestinal perforation or obstruction. Sharp-pointed objects are associated with an estimated 35% rate of complications within the gastrointestinal tract prior to passage and require prompt removal. Endoscopic retrieval is often recommended if foreign objects have not transited beyond the proximal duodenum. We present a unique case of a previously healthy 23-year-old male suffering months of abdominal pain. While the initial presentation and imaging were suspicious for Crohn’s disease, the endoscopic findings were unexpected. Numerous chicken bone fragments were clustered in the caecum and in the terminal ileum. The distal terminal ileum was edematous and ulcerated. Subsequent patient history revealed years of chronic and intentional foreign body consumption with recent onset of abdominal pain.

scholarly journals A vaginal fornix foreign body in a bitch: a case report

2014 ◽  
Vol 59 (No. 9) ◽  
pp. 457-460 ◽  
Author(s):  
M. Fabbi ◽  
S. Manfredi ◽  
F. Di Ianni ◽  
C. Bresciani ◽  
AM Cantoni ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Foreign Body ◽  
Staphylococcus Epidermidis ◽  
Foreign Bodies ◽  
Clinical Signs ◽  
Abdominal Ultrasound ◽  
Intact Female ◽  
History Of ◽  
Grass Awn

A six-year-old intact female Lagotto Romagnolo was referred with a two-day history of purulent vulvar discharge associated with fever, lethargy, polyuria, polydipsia and signs of abdominal pain. Abdominal ultrasound revealed a grass awn foreign body in the vaginal fornix. Culture swabs obtained from the vagina revealed the presence of Staphylococcus epidermidis as the preponderant organism. Ovariohysterectomy was performed, and the presence of the grass awn was confirmed. A chronic-active vaginitis was found at histological examination. The dog recovered with resolution of all clinical signs.&nbsp; Differential diagnoses for acute vulvar discharge in bitches should include retention of vaginal foreign bodies. To the authors&rsquo; knowledge, this is the first reported case of a grass awn foreign body in the vaginal fornix of a dog. &nbsp;

scholarly journals Wheezy adult with chicken bone in the chest

2018 ◽  
Vol 7 (1) ◽  
pp. 310
Author(s):  
Bhavana Venkata Nagabhushna Rao ◽  
Narmada Vatti ◽  
Balaraju Tadikonda ◽  
Srinivasa Perraju Ponnapalli
Keyword(s):  
Foreign Body ◽  
Foreign Bodies ◽  
Main Bronchus ◽  
Three Dimensional ◽  
Upper Airway ◽  
Airway Disease ◽  
Virtual Bronchoscopy ◽  
Chicken Bone ◽  
Chronic Airway Disease ◽  
The Right

A large foreign body aspiration in a healthy adult is rare in the literature. It is a frequent problem in children and adolescents. Adults are affected in altered sensorium, either due to sedation or neurological problems. Acute upper airway obstruction though rare in adults requires establishment of an airway using Laryngoscope or rigid bronchoscope. At times we have to recourse to tracheostomy to save the life. Foreign body often travels down the right sided airways, here we present a case of 30mm Chicken bone being lodged in the left main bronchus. The patient presented with unremitting cough and normal chest skiagram. Monophonic wheeze on auscultation and focused attention on the patient narration made us clinch the diagnosis. New onset wheezy chest or unremitting chronic airway disease on adequate therapy, with history of choking needs special attention. The CT scan is a better modality of the investigation. Three dimensional CT with multi-slice virtual bronchoscopy is advantageous. We discussed foreign body aspirations in adults, the various causes and presentations. Fiber optic bronchoscopy is the ideal method for visualization and extraction of non-life-threatening foreign bodies in adults. Once a foreign body is identified, it has to be removed as early as possible. Retained foreign bodies can precipitate many complications related to infection and inflammation. At rare incidence we may have to resort to thoracotomy to remove a complicated foreign body.

scholarly journals Multiple Colonic Radiopaque Foreign Bodies in a 7-Year-Old Child: The Plain Radiographic Features and a Case Report

2021 ◽  
Vol 5 (4) ◽  
pp. 01-03
Author(s):  
Sule MB ◽  
Gele IH ◽  
Shirama YB ◽  
Abacha M ◽  
Ribah MM
Keyword(s):  
Abdominal Pain ◽  
Case Report ◽  
Foreign Body ◽  
Foreign Bodies ◽  
Body Cavity ◽  
The Body ◽  
Abdominal Radiograph ◽  
Behavioral Abnormality ◽  
History Of ◽  
Males And Females

Foreign bodies are uncommon and may be ingested, inserted into a body cavity or deposited in the body by traumatic or iatrogenic injury. Foreign body ingestion is more common in children with equal incidence in males and females, and has a peak incidence in the ages between six months to three years. This is a case of a seven-year-old male child with behavioral abnormality and long history of ingestion of foreign bodies who presented with abdominal pain and discomfort with passage of hard solid stone like particles in feaces. The patient had a conventional abdominal radiograph that showed multiple radiopaque structures of varying sizes, some of which are clump-like in the peripheral abdomen; the large colon and region of the rectum.

scholarly journals Liver abscess, management strategies, and outcome

2018 ◽  
Vol 5 (9) ◽  
pp. 3093
Author(s):  
Sudhir R. Jayakar ◽  
Prabhat B. Nichkaode
Keyword(s):  
Abdominal Pain ◽  
Liver Abscess ◽  
Tertiary Care ◽  
Management Strategies ◽  
Hepatic Abscess ◽  
Pyogenic Liver Abscess ◽  
Study Population ◽  
Set Up ◽  
Upper Abdominal ◽  
Diagnosis Therapy

Background: Liver abscess, a disease troubling mankind from ancient times, has earliest documentation in the Sanskrit document. Where right upper abdominal pain, have potentially lethal consequences, if prompt diagnosis and treatment are not accomplished. However, two major types are known, amoebic and pyogenic, in medical literature. Pyogenic liver abscess constitutes major bulk of hepatic abscess in western countries. The diagnosis is confirmed by ultrasonography, reddish brown (anchovy-paste like material) aspirate from abscess. The diagnosis, treatment and prognosis, of liver abscess have evolved remarkably over past few years. Imaging has improved diagnostic competence and has altered therapeutic strategy. The study aims at early clinical and  diagnosis on imaging of liver abscess, to set up some guide lines in view of conservative or either  intervention.Methods: The present study was hospital based longitudinal study, carried out in tertiary care teaching hospital from November 2013 to November 2015.  A total of 55 patients were enrolled in the study. All patients with suspicion of having liver abscess were confirmed on Imaging and included as present study population. Authors studied mainly presentation, role of conservative treatment, Aspiration, pigtail catheter, Outcome, and post procedural complications.Results: All patients presented with Pain right or left upper abdominal pain in abdomen, any chest complaints , majority of present study group patients had fever with or without rigors, deranged liver function. Imaging is the most diagnostic method, and also helped in therapy and follow up.Conclusions: Males are affected more than females, Imaging is the best modality for diagnosis, therapy and follow up. Aspiration or pigtail drainage is the standard method of drainage. Pigtail drainage is the better method of treatment than aspiration.

scholarly journals A case of the duodenal foreign body that right upper abdominal pain persisted

2012 ◽  
Vol 80 (2) ◽  
pp. 112-113
Author(s):  
Kaori Makino ◽  
Kako Ono ◽  
Shin-i Ryu ◽  
Akinori Tamura ◽  
Yuki Nakamura ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Foreign Body ◽  
Upper Abdominal

scholarly journals A chicken bone stuck in a divertic sigmoid colon, accidentally detected during a colonoscopy

2020 ◽  
Author(s):  
Jacek Lasocki ◽  
Marek Kowalczyk ◽  
Łukasz Dyśko ◽  
Łukasz Klepacki ◽  
Waldemar Kurpiewski ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Foreign Body ◽  
Sigmoid Colon ◽  
Foreign Bodies ◽  
Hospital Setting ◽  
Clinical Disorder ◽  
Bone Removal ◽  
Chicken Bone ◽  
Swallowed Foreign Bodies

Introduction: The swallowing of foreign bodies is a common clinical disorder. Aim: The aim of this study is to present the case of a swallowed foreign body and discuss the possible endoscopic approaches. Case study: We present a case of a 56-year-old woman who had a stuck chicken bone in a divertic sigmoid colon. In CT the presence of the bone in the sigmoid colon with edema and thickening of a wall around the foreign body was confirmed. The bone was removed in a hospital setting during colonoscopy with the use of ‘rat teeth’ forceps without complications. Results and discussion: Swallowed foreign bodies are usually excreted from the gastrointestinal tract without any complications, however, sometimes they can lead to serious clinical problems such as obstruction, perforation or bleeding. Most stapled foreign bodies in a large intestine can be removed endoscopically without complications. About 5% of patients require surgical treatment. Conclusions: The bone removal performed in the hospital setting ensured the possibility of appropriate procedure in case of complications, such as intestinal perforation or bleeding. The endoscopic bone removal prevented the development of complications requiring surgical treatment.

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