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Hindi Case Report
A Case Report of the Retrieval of a Duodenal Foreign Body from the Liver
Su-Ann Yeoh1*, Philip Boger1, Timothy Bryant2 and Trevor Smith1
1Department of Gastroenterology, Southampton General Hospital, University Hospital Southampton NHS Foundation Trust, Tremona Road, SO16 6DD, Southampton, UK
2Department of Radiology, Southampton General Hospital, University Hospital Southampton NHS Foundation Trust, Tremona Road, SO16 6DD, Southampton, UK
- *Corresponding Author:
- Su-Ann Yeoh
Department of Gastroenterology, Southampton General Hospital
University Hospital Southampton NHS Foundation Trust
Tremona Road, SO16 6DD, Southampton, UK
Tel: 44 7596192475
E-mail: su-ann.yeoh@nhs.net
Received date: November 26, 2015 Accepted date: December 26, 2015 Published date: December 31, 2015
Citation: Yeoh SA, Boger P, Bryant T, Smith T (2015) A Case Report of the Retrieval of a Duodenal Foreign Body from the Liver. J Gastrointest Dig Syst 5:368. doi:10.4172/2161-069X.1000368
Copyright: © 2015 Yeoh SA, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Abstract
A 27-year-old female patient from a psychiatric unit presented with a two-week history of abdominal pain and worsening nausea. She admitted to swallowing a ballpoint pen five months prior. Endoscopy showed the tip of the pen impacted in the superior wall of the first part of the duodenum. The endoscopist elected not to retrieve the foreign object and a computed tomograph (CT) was organised. This showed migration of the pen into the liver with the tip in close proximity to the portal vein. Laparoscopic surgery was performed to remove the pen with minimal blood loss. The patient was discharged 12 days later. This case highlights the presence of guidelines to aid decision-making in retrieval of ingested foreign bodies and the value of additional imaging to guide management of foreign body ingestions.
