Work

Hepatic migration of metallic wire from gastrointestinal tract: a rare case report

Year: 2025

Type: article

Abstract: Introduction and importance: The translocation of gastrointestinal (GI) foreign bodies to hepatic tissue is exceptionally rare, occurring in less than 1% of foreign body ingestion cases. Most ingested objects either remain within the GI tract or are naturally eliminated. Case presentation: We present a 57-year-old man with 24-hour acute upper abdominal pain. Despite denying intentional foreign object ingestion, computed tomography (CT) revealed a linear metallic structure (3.5 cm) in the second hepatic segment. Laboratory analysis showed mild leukocytosis and elevated interleukin-6 levels. The patient underwent successful laparoscopic extraction of a 1.5 cm metallic wire with no complications and was discharged on postoperative day 7. Clinical discussion: Hepatic foreign body migration mechanisms include direct gastroduodenal wall penetration, portal circulation migration, or hepatoduodenal ligament translocation. CT imaging is crucial for detection and localization, though metallic artifacts can overestimate size. Laparoscopic surgery is preferred for managing hepatic foreign bodies due to reduced trauma, shorter hospital stays, and faster recovery compared to open surgery. Conclusion: This case highlights the rare but possible migration of grill brush bristles to the liver parenchyma, expanding the range of potential injuries associated with such incidents. As a result, early detection and prompt intervention are crucial, with minimally invasive approaches being particularly advantageous in managing these complex cases.

Source: Annals of Medicine and Surgery

DOI: 10.1097/ms9.0000000000004222

Authors: Kui Yan, Jingyi Chen, Rui Li, Chenchen Liu, Changsheng Li

Institutions: Hubei University of Medicine, Taihe Hospital

Language: English

Topic: Foreign Body Medical Cases

Subfield: Radiology, Nuclear Medicine and Imaging

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $1,850