Ingested Foreign Body Migration to the Liver: An Unusual Cause of Persistent Abdominal Pain in a 54-Year-Old Female

Abdominal pain is a common presentation in emergency medicine. We describe the case of a 54-year-old female who presented to the emergency department due to worsening abdominal pain. She had a history of right upper quadrant (RUQ) abdominal pain that had been ongoing for several months. The pain had...

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Bibliographic Details
Published in:Case reports in emergency medicine 2018, Vol.2018 (2018), p.1-3
Main Authors: Hertz, Risha, Schuitema, Kelly, Espinosa, James, Lucerna, Alan
Format: Article
Language:English
Subjects:
Abdomen
Blood
Bones
Case Report
Case reports
Emergency medical care
Emergency medicine
Liver
Medical imaging
Medicine
Nonsteroidal anti-inflammatory drugs
Pain
Patients
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Summary:Abdominal pain is a common presentation in emergency medicine. We describe the case of a 54-year-old female who presented to the emergency department due to worsening abdominal pain. She had a history of right upper quadrant (RUQ) abdominal pain that had been ongoing for several months. The pain had been thought by the primary care team to be related to gastritis and she had been prescribed a proton pump inhibitor (PPI). Her abdominal pain increased in the three days prior to her presentation to the emergency department (ED). The computed tomography (CT) scan of the abdomen showed a foreign body (FB) in the liver which was successfully removed surgically. Pathology results showed that the FB was consistent with a small bone fragment. Ingestions of FB are common but seldom result in complications. When complications do arise, perforation of a hollow viscous is typically seen. Rarely, transmigration of the FB can occur.
ISSN:2090-648X
2090-6498
DOI:10.1155/2018/8745271