Department of Gastroenterology and Internal Medicine, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czechia.
Department of Surgery, University Hospital Brno, Faculty of Medicine, Masaryk University, Brno, Czechia.
Dig Dis. 2021;39(5):549-552. doi: 10.1159/000514645. Epub 2021 Jan 22.
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.
我们报告了一例鱼骨嵌顿 Vater 乳头导致消化不良和肝功能轻度升高的病例，随后经内镜治疗。鱼骨是最常见的吞咽异物之一。然而，像我们描述的那样累及胆道是鱼骨摄入的一种极其罕见的并发症。胆道内异物的诊断可能较为困难，可能需要早期进行内镜或手术取出，以避免胆石形成、阻塞性黄疸、胆管炎或胆囊炎和/或胆道败血症等并发症。及时的内镜治疗可以避免严重的胆道并发症或外科治疗。
