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Case Reports in Emergency Medicine
Volume 2018, Article ID 8745271, 3 pages
Case Report

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

1Emergency Medicine, Rowan University SOM/Jefferson Health, Stratford, NJ, USA
2OMS 2, Philadelphia College of Osteopathic Medicine, Philadelphia, PA, USA
3Department of Family Medicine, University of Pennsylvania/Penn Medicine, Gibbsboro, NJ, USA

Correspondence should be addressed to Alan Lucerna; moc.liamg@aanrecul

Received 9 November 2017; Revised 14 December 2017; Accepted 18 December 2017; Published 21 January 2018

Academic Editor: Aristomenis K. Exadaktylos

Copyright © 2018 Alan Lucerna et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


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.