Introduction: Colonic perforation by ingestion of foreign bodies as fishbones is extremely rare. It represents a challenging emergency: the management should be quickly established to limit its morbidity. Case report: We report a case of left colonic perforation due to a fishbone. Our patient who ingested fishbone also had colonic diverticulosis. Non-surgical management was performed. The evolution was favorable and our patient recovered. Discussion: Fishbone ingestion could be related to many complications including bowel perforation. Clinical findings are various. Paraclinical examinations can be challenging due to the limits of each one (X-rays, US, and CT scans). Nonsurgical management should be considered in many cases, and surgical treatment may be delayed. The final management is still controversial. Surgical and non-surgical techniques are both described in the literature.
L´hydatidose est une anthropozoonose due au développement chez l´homme de la forme larvaire de l´Echinococcus granulosus. Elle sévit surtout dans les régions rurales et d´élevages au niveau du bassin méditerranéen, l´Amérique du sud, proche et moyen orient. La localisation vertébrale est rare mais représente la forme la plus grave des localisations osseuses de l´hydatidose. Elle touche préférentiellement le rachis dorsal. Cette atteinte est grave vu le risque de compression médullaire. Nous illustrons le cas d´une patiente de 60 ans, admise pour lombo-radiculalgies paralysantes bilatérales mal systématisées, d´évolution progressive, associées à une impériosité mictionnelle. L´IRM a retrouvé une hydatidose vertébrale lombaire infiltrant les structures endo et extra-canalaires et comprimant les racines de la queue de cheval. La patiente a été opérée par voie postérieure et l´évolution a été favorable.
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