Accidental ingestion of foreign bodies is a common condition in clinical practice. However, small bowel perforation due to ingestion of foreign bodies has been rarely seen. In this article, we report a case of small bowel perforation due to ingestion of foreign body. A 38-year-old female patient, presenting with complaints of acute abdomen for 2 days, was admitted to the emergency department. She denied nausea and vomiting. The patient had tenderness and positive rebound tenderness in the right lower quadrant. Contrast-enhanced abdominal computed tomography has been performed. This revealed distended ascending colon and oral contrast retention denoting delayed bowel emptying. The patient was operated for. A micro perforation due to fish bone was detected in the jejunum. The patient underwent debridement and primary repair. The patient was discharged postoperative 6th day without problem. Bowel perforation due to the ingestion of foreign bodies should be considered in the differential diagnosis of acute abdomen.
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