Perforation of the gastrointestinal tract by ingested foreign bodies is extremely rare in otherwise healthy patients, accounting for < 1% of cases. Accidentally ingested foreign bodies could cause small bowel perforation through a hernia sac, Meckel's diverticulum, or the appendix, all of which are uncommon. Despite their sharp ends and elongated shape, bowel perforation caused by ingested fish bones is rarely reported, particularly in patients without intestinal disease. We report a case of 57-year-old female who visited the emergency room with periumbilical pain and no history of underlying intestinal disease or intra-abdominal surgery. Abdominal computed tomography and exploratory laparotomy revealed a small bowel micro-perforation with a 2.7-cm fish bone penetrating the jejunal wall.
We read with interest the recent article by the Endoscopic Classification Review Group [1]. Endoscopic mucosal resection (EMR) has become widely accepted as a curative treatment for mucosal cancer of the stomach [2], and recent advances in EMR techniques are extremely remark− able. A new endoscopic procedure, using multiple accessories, provides an en bloc specimen and therefore allows precise histologic staging.
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