Gigola Francesca, Grimaldi Chiara, Bici Kejd, Ghionzoli Marco, Spinelli Claudio, Muiesan Paolo, Morabito Antonino
Department of Pediatric Surgery, Meyer Children's Hospital, 50139 Florence, Italy.
Department of Surgical, Medical, Molecular Pathology and of the Critical Area, University of Pisa, 56100 Pisa, Italy.
Children (Basel). 2022 Jan 18;9(2):120. doi: 10.3390/children9020120.
Retention of foreign bodies (FB) in the liver parenchyma is a rare event in children but it can bring a heavy burden in terms of immediate and long-term complications. Multiple materials can migrate inside the liver. Clinical manifestations may vary, depending on the nature of the foreign body, its route of penetration and timing after the initial event. Moreover, the location of the FB inside the liver parenchyma may pose specific issues related to the possible complications of a challenging surgical extraction. Different clinical settings and the need for highly specialized surgical skills may influence the overall management of these children. Given the rarity of this event, a systematic review of the literature on this topic was conducted and confirmed the pivotal role of surgery in the pediatric population.
肝脏实质内异物（FB）存留于儿童中是一种罕见事件，但就近期和远期并发症而言，它会带来沉重负担。多种异物可在肝脏内游走。临床表现可能各不相同，这取决于异物的性质、其穿透途径以及初始事件后的时间。此外，肝脏实质内异物的位置可能引发与具有挑战性的手术取出可能出现的并发症相关的特定问题。不同的临床情况以及对高度专业化手术技能的需求可能会影响这些儿童的整体治疗。鉴于此事件的罕见性，对该主题的文献进行了系统综述，证实了手术在儿科人群中的关键作用。
