{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T07:18:40Z","timestamp":1765351120314,"version":"3.46.0"},"reference-count":10,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:p>Foreign bodies in the liver are relatively rare, with most cases resulting from ingested objects that migrate through the gastrointestinal tract. Direct hepatic penetration by pneumatic tools represents an exceptionally rare mechanism of injury, as these foreign bodies typically require significant force to breach the abdominal wall and lodge within the liver parenchyma. Preoperative differentiation between migrated and directly penetrating foreign bodies is clinically significant, as it may influence both diagnostic approach and surgical planning. Here, we report the diagnosis and management of a 50-year-old male with an unusual case of pneumatic nail penetration into the left hepatic lobe. The patient presented with acute abdominal pain following accidental penetration by a 5.2\u2005cm pneumatic nail that traversed the rectus abdominis to lodge in segment III of the liver. CT imaging confirmed the nail's trajectory while demonstrating no evidence of abscess formation or pneumoperitoneum. Vital signs and laboratory parameters remained stable throughout the clinical course. During exploratory laparoscopy, the foreign body was identified within the left hepatic lobe, confirming its direct penetration pathway rather than migratory origin. The nail was successfully extracted using careful laparoscopic dissection, with complete preservation of surrounding parenchyma and no significant bleeding. The patient experienced an uneventful recovery and was discharged on postoperative day 2 with complete resolution of symptoms.<\/jats:p>","DOI":"10.3389\/fsurg.2025.1706137","type":"journal-article","created":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T07:13:43Z","timestamp":1765350823000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Case Report: Laparoscopic management of penetrating liver injury from pneumatic nail gun"],"prefix":"10.3389","volume":"12","author":[{"given":"Mingyu","family":"Zhang","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuchi","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qingbo","family":"Feng","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"12","DOI":"10.1016\/j.ijscr.2015.02.012","article-title":"Successful endoscopic management of gastric perforation caused by ingesting a sharp chicken bone","volume":"9","author":"Shaheen","year":"2015","journal-title":"Int J Surg Case Rep"},{"key":"B2","doi-asserted-by":"publisher","first-page":"256","DOI":"10.5152\/turkjsurg.2017.3391","article-title":"Foreign body: a sewing needle migrating from the gastrointestinal tract to pancreas","volume":"34","author":"Dal","year":"2018","journal-title":"Turk J Surg"},{"key":"B3","doi-asserted-by":"publisher","first-page":"123","DOI":"10.11604\/pamj.2020.36.123.23948","article-title":"Laparoscopic removal of an ingested fish bone from the head of the pancreas: case report and review of literature","volume":"36","author":"Mulita","year":"2020","journal-title":"Pan Afr Med J"},{"key":"B4","doi-asserted-by":"publisher","first-page":"E323","DOI":"10.1055\/s-0042-117423","article-title":"Multi-modality endoscopic management of a submucosal pancreas-perforating gastric foreign body","volume":"48","author":"Lim","year":"2016","journal-title":"Endoscopy"},{"key":"B5","doi-asserted-by":"publisher","first-page":"149","DOI":"10.1186\/s40792-018-0559-4","article-title":"Laparoscopic removal of an ingested fish bone that penetrated the stomach and was embedded in the pancreas: a case report","volume":"4","author":"Mima","year":"2018","journal-title":"Surg Case Rep"},{"key":"B6","doi-asserted-by":"publisher","first-page":"891366","DOI":"10.3389\/fsurg.2022.891366","article-title":"Uncommon cause of right upper quadrant pain treated by laparoscopic surgery: a case report","volume":"9","author":"Feng","year":"2022","journal-title":"Front Surg"},{"key":"B7","doi-asserted-by":"publisher","first-page":"e87720","DOI":"10.7759\/cureus.87720","article-title":"Three-Dimensional computed tomography for the safe management of esophageal foreign body","volume":"17","author":"Zensho","year":"2025","journal-title":"Cureus"},{"key":"B8","doi-asserted-by":"publisher","first-page":"2110","DOI":"10.1111\/1556-4029.15079","article-title":"Unexpected death from hepatic abscess 16\u2009months after toothbrush ingestion","volume":"67","author":"Zhao","year":"2022","journal-title":"J Forensic Sci"},{"key":"B9","doi-asserted-by":"publisher","first-page":"383","DOI":"10.1007\/s11255-024-04232-0","article-title":"Single-centre retrospective analysis: 16 cases of percutaneous nephrolithotripsy complicating hepatic puncture injury in a 7-year experience","volume":"57","author":"Yang","year":"2025","journal-title":"Int Urol Nephrol"},{"key":"B10","doi-asserted-by":"publisher","first-page":"6","DOI":"10.1186\/s12893-021-01457-z","article-title":"Liver abscess in the caudate lobe caused by a fishbone and treated by laparoscopy: a case report","volume":"22","author":"Zhang","year":"2022","journal-title":"BMC Surg"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1706137\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T07:13:47Z","timestamp":1765350827000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2025.1706137\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,10]]},"references-count":10,"alternative-id":["10.3389\/fsurg.2025.1706137"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2025.1706137","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,10]]},"article-number":"1706137"}}