TĂM TRE XUYÊN THỦNG GAN: BÁO CÁO TRƯỜNG HỢP, PHƯƠNG PHÁP ĐIỀU TRỊ VÀ TỔNG HỢP Y VĂN

Abstract

The ingestion of foreign bodies is not uncommon in clinical settings and responsible for around 1500 cases of death in the United States every year. It is mainly prevalent in certain highrisk population such as pediatric patients, elderly patients with dental prosthesis, patients with psychiatric disorders or neurodevelopmental delay and body pakers. On presentation, one should consider the fact that a foreign body can range from medical devices (needles, surgical instruments especially endoscopic ones etc.) to ingested synthetic foreign bodies or organic ones (animal bones, wooden toothpicks etc.). Around 136 cases of toothpick ingestion causing gastrointestinal perforation have been reported, of which more than 15 presented with migration into the liver necessitating surgical management. In what follows, we describe the first case of toothpick ingestion, with migration into the liver through the gastric hepatic flexure, how it presented and how it was managed, followed by a brief literature review. Foreign body presence inside the liver is a rare incident. Computed Tomography scan plays a significant role in discovering foreign bodies located inside the liver, surgical intervention is required for removing the foreign body.