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Case Reports in Surgery
Volume 2012, Article ID 791857, 4 pages
http://dx.doi.org/10.1155/2012/791857
Case Report

Liver Abscess and Pseudotumoral Gastric Lesion Caused by Chicken Bone Perforation: Laparoscopic Management

Division of General and Laparoscopic Surgery, San Tommaso dei Battuti Hospital, Via Zappetti 58, 30026 Portogruaro, Italy

Received 28 September 2012; Accepted 17 October 2012

Academic Editors: N. A. Chowdri, J. Griniatsos, and K. W. Lobdell

Copyright © 2012 Gabriele Ricci 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.

Abstract

The accidental ingestion of a foreign body into the gastrointestinal tract is not uncommon, but the vast majority of foreign bodies pass through the gastrointestinal tract uneventfully within a week. Less than 1% of patients with foreign body ingestion develop complications such as perforation of the gastrointestinal tract. The migration of an ingested foreign body may result in chronic inflammation, a silent clinical course, and radiological features suggestive of a neoplasm. The authors report a case of chicken bone perforation of the gastric wall that leads to hepatic abscess formation and thereafter to submucosal pseudotumor of the gastric wall treated with totally laparoscopic management. Usefulness of endoscopic ultrasonography for a correct diagnosis is also stressed.