Abstract
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.
Highlights
Retention of a foreign body (FB) in the liver is a rare circumstance, it can lead to a heavy burden in terms of immediate and long-term complications
The literature search was conducted on MEDLINEPubMed and EMBASE using the following terms: liver, trauma, penetrating, children, weapon, and foreign object and foreign body
As for liver penetrating injuries, pellets may enter the abdominal wall and pass through the liver on their trajectory: in this setting the liver lesion can be treated conservatively following the usual guidelines for the treatment of parenchymal laceration in blunt abdominal trauma
Summary
Retention of a foreign body (FB) in the liver is a rare circumstance, it can lead to a heavy burden in terms of immediate and long-term complications. A FB can reach the liver through three different routes: direct penetrating injury, via the gut following an ingestion, or through the bloodstream [1,2]. Multiple objects can be retrieved from the liver, such as sewing needles, hair pins or military equipment such as pellets or gun shots. Some FBs may result from medical actions: insertion of a FB due to inaccurate surgical procedures or migration of medical devices [3–5]. Clinical signs may differ based on the type of FB, on the timing after initial injury, and on the way of entry. Management of liver FBs may greatly differ
Sign-in/Register to view highlights & summary Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
