A Case of Reccurence of Intraperitoneal Abscess for Fish Bone Ileum Perforation 4 Months after Previous Drainage

Abstract

A76-year-oldmanwasbroughtintoourhospitalbyanambulanceforabdominalpainandvomiting. Computedtomography(CT)oftheabdomenrevealedintestinalobstructionbyanintraabdominalabscess, andhissymptomswererelievedbyCTguidedabscessdrainage.CTperformedlatersuggestedintraabdominal abscess by intestinal perforation for a fish bone. He presented to our hospital with abdominal pain and fever 4 months later. We diagnosed the case as recurrence of abdominal abscess by the remainedfishbone.Weperformedlaparoscopicsurgeryforextractingthefishboneandforresectingthe perforated intestine. He has been passed without recurrence until now. When we select conservative therapyforintestinalperforationbyafishbone,wehaveariskofrecurrencebytheremainedfishbone, thereforeweshouldextractthefishboneasarule.Inthiscase,wewereabletofindthesmallfishbone and perform an operation minutely even on the operative field with severe inflammation by employing laparoscopicsurgery.