Publication details

Unusual Biliary Complication following Christmas Eve Dinner

Authors

KUNOVSKÝ Lumír TESAŘÍKOVÁ Pavla SETHI A. KROUPA Radek DASTYCH Milan DOLINA Jiří KALA Zdeněk TRNA Jan

Year of publication 2021
Type Article in Periodical
Magazine / Source Digestive Diseases
MU Faculty or unit

Faculty of Medicine

Citation
Web https://www.karger.com/Article/FullText/514645
Doi http://dx.doi.org/10.1159/000514645
Keywords Foreign body; Fish bone; Endoscopy; Papilla of Vater; Common bile duct; Biliary complications
Description We present a case of a fish bone impacted in the papilla of Vater resulting in dyspepsia and mild elevation in liver function tests, which was subsequently treated endoscopically. Fish bones are one of the most commonly encountered swallowed foreign bodies. However, involvement of the biliary tract, such as the one described by us, represents an extremely rare complication of fish bone ingestion. The diagnosis of a foreign body in the biliary tract can be difficult, and early endoscopic or surgical extraction may be required to avoid complications such as biliary stone formation, obstructive jaundice, cholangitis or cholecystitis, and/or biliary sepsis. Prompt endoscopic treatment can avoid severe biliary complications or surgical therapy.

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