A CASE OF GIANT LIVER ABSCESS CAUSED BY FISHBONE MIGRATION INTO THE BILE DUCT AFTER SUBTOTAL STOMACH-PRESERVING PANCREATICODUODENECTOMY

DOI
  • TSUYAMA Takanori
    Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine.
  • SUENAGA Shigeyuki
    Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine.
  • HAMAMOTO Kaori
    Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine.
  • YADA Shoko
    Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine.
  • AMANO Shogo
    Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine.
  • SHINODA Shuhei
    Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine.
  • TAKAMI Taro
    Department of Gastroenterology and Hepatology, Yamaguchi University Graduate School of Medicine.

Bibliographic Information

Other Title
  • 亜全胃温存膵頭十二指腸切除術後に胆管内魚骨迷入により巨大肝膿瘍を生じた１例

Search this article

Abstract

<p>An 81-year-old man who underwent subtotal stomach-preserving pancreaticoduodenectomy was admitted to our hospital because of liver abscess. CT revealed a linearly shaped foreign body with bone density in the bile duct nearby the abscess. After treatment with antibiotics and percutaneous transhepatic abscess drainage, we removed the foreign body without complications using single balloon enteroscopy. The foreign body was determined to be a fishbone. Foreign body migration to the bile duct after pancreaticoduodenectomy is rare and occasionally causes liver abscess, cholangitis, and bile duct stones. In symptomatic cases, removing the foreign body from the bile duct should be considered to control infection. For removing the foreign body from the bile duct after pancreaticoduodenectomy, balloon enteroscopy is minimally invasive with a high success rate. We consider balloon enteroscopy as a first-line treatment option for symptomatic fishbone migration in the bile duct after pancreaticoduodenectomy.</p>

Journal

Keywords

Details 詳細情報について

Report a problem

Back to top