2023 Volume 65 Issue 11 Pages 2290-2296
An 81-year-old man who underwent subtotal stomach-preserving pancreaticoduodenectomy was admitted to our hospital because of liver abscess. CT revealed a linearly shaped foreign body with bone density in the bile duct nearby the abscess. After treatment with antibiotics and percutaneous transhepatic abscess drainage, we removed the foreign body without complications using single balloon enteroscopy. The foreign body was determined to be a fishbone. Foreign body migration to the bile duct after pancreaticoduodenectomy is rare and occasionally causes liver abscess, cholangitis, and bile duct stones. In symptomatic cases, removing the foreign body from the bile duct should be considered to control infection. For removing the foreign body from the bile duct after pancreaticoduodenectomy, balloon enteroscopy is minimally invasive with a high success rate. We consider balloon enteroscopy as a first-line treatment option for symptomatic fishbone migration in the bile duct after pancreaticoduodenectomy.
