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J Minim Access Surg. 2019 Nov 8. doi: 10.4103/jmas.JMAS_196_19. [Epub ahead of print]

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

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


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.


Abscess; foreign body; gastrointestinal tract; liver

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