Unusual Biliary Complication following Christmas Eve Dinner

KUNOVSKÝ, Lumír, Pavla TESAŘÍKOVÁ, A. SETHI, Radek KROUPA, Milan DASTYCH, Jiří DOLINA, Zdeněk KALA and Jan TRNA. Unusual Biliary Complication following Christmas Eve Dinner. Digestive Diseases. Basel: Karger, vol. 39, No 5, p. 549-552. ISSN 0257-2753. doi:10.1159/000514645. 2021.

Basic information

• Original name: Unusual Biliary Complication following Christmas Eve Dinner
• Authors: KUNOVSKÝ, Lumír (203 Czech Republic, guarantor, belonging to the institution), Pavla TESAŘÍKOVÁ (203 Czech Republic), A. SETHI, Radek KROUPA (203 Czech Republic, belonging to the institution), Milan DASTYCH (203 Czech Republic, belonging to the institution), Jiří DOLINA (203 Czech Republic, belonging to the institution), Zdeněk KALA (203 Czech Republic, belonging to the institution) and Jan TRNA (203 Czech Republic, belonging to the institution).
• Edition: Digestive Diseases, Basel, Karger, 2021, 0257-2753.

Other information

• Original language: English
• Type of outcome: Article in a journal
• Field of Study: 30219 Gastroenterology and hepatology
• Country of publisher: Switzerland
• Confidentiality degree: is not subject to a state or trade secret
• WWW: URL
• Impact factor: Impact factor: 3.421
• RIV identification code: RIV/00216224:14110/21:00121431
• Organization unit: Faculty of Medicine
• Doi: http://dx.doi.org/10.1159/000514645
• UT WoS: 000692150000017
• Keywords in English: Foreign body; Fish bone; Endoscopy; Papilla of Vater; Common bile duct; Biliary complications
• Tags: 14110213, 14110223, rivok
• Tags: International impact, Reviewed

Abstract

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.