Abstract
The patient was in her sixties who had worked near the operator of a lawn mower, came to our hospital with the complaint of continuing right chest pain. Chest X-ray (CXR), computed tomography (CT) and ultrasonography (US) revealed a linear foreign body embedded in the liver, which was believed to have been projected by a lawn mower. Laparoscopic removal was performed. Laparoscopic ultrasonography detected the foreign body (a wire) entirely embedded in the liver. Microwave coagulation was performed on the liver to prevent hemorrhage. Liver was manipulated by forceps at laparoscopy to search for the foreign body, which was removed without complication. The patient had an uneventful postoperative course. Intrahepatic foreign body from a projectile injury by a lawn mower is very rare. To accomplish this laparoscopic surgery, it is important to select patients who have the required indications, evaluate the possibility and use the devices optimally.
