CT findings of accidental fish bone ingestion and its complications

Venkatesh, Sandeep; Karaddi, Nanda Kumar Venkatanarasimha

doi:10.5152/dir.2015.15187

Cited by 47 publications

(63 citation statements)

References 10 publications

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“…The most common of these are fish bones and toothpicks [148] appearing linear and hyperechoic with variable posterior acoustic shadowing. Even with CT scanning, accuracy in the detection of fish bones is dependent on the observer experience [149,150]. Secondary signs, as localized inflammation with thickened segment of the intestine, are often the leading features to detect the localisation of the foreign body [150].…”

Section: Foreign Bodiesmentioning

confidence: 99%

EFSUMB Gastrointestinal Ultrasound (GIUS) Task Force Group: Celiac sprue and other rare gastrointestinal diseases ultrasound features

et al. 2019

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Transabdominal gastrointestinal ultrasound (GIUS) is unique in its capacity to examine the bowel non-invasively and in its physiological condition, including extra-intestinal features such as the splanchnic vessels, mesentery, omentum and lymph nodes- even at the bedside. Despite this, and its extensive documentation for its usefulness, it has only been fully implemented in a few European countries and expert centres. Therefore, the European Federation of Societies for Ultrasound in Medicine and Biology (EFSUMB) established a GIUS Task Force Group in 2014 consisting of international experts from 9 European countries with the objectives to standardize and promote the use of GIUS in a clinical setting. This is achieved by publishing clinical guidelines and recommendations on indications and use of GIUS and so far,4 guidelines have been published: first on “examination techniques and normal findings”, second on “inflammatory bowel disease”, third on “acute appendicitis and diverticulitis” and fourth on “transrectal and perineal ultrasound”.This paper describes the ultrasound features of miscellaneous disorders such as celiac disease, cystic fibrosis, omental infarction, Meckel’s diverticle, endometriosis, intestinal neoplasia, mucocele, amyloidosis, GVHD, foreign bodies, vasculitis, and pneumatosis cystoides intestinalis. Bowel ultrasound can be indicated in most of these conditions to investigate intestinal symptoms but in other cases the alterations of the bowel can be also an incidental finding that suggest other examinations which finally help to discover an unknown pathological condition.

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Section: Foreign Bodiesmentioning

confidence: 99%

EFSUMB Gastrointestinal Ultrasound (GIUS) Task Force Group: Celiac sprue and other rare gastrointestinal diseases ultrasound features

et al. 2019

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“…The discrimination of a water-filled toothpick from a fish bone, which is one of the most common accidentally-swallowed foreign bodies (9), would be difficult because they have a similar appearance on CT (a fish bone penetration appears as a linear high density area surrounded by an area of inflammation) (10). In a similar vein, the potential pitfalls in detecting a toothpick on CT would be the presence of positive bowel contrast, artifacts related to fecal material, and contrast-enhanced small blood vessels (9). Interestingly, in our case, the toothpick was indistinct on the CT images that were taken after intravenous contrast administration.…”

Section: Discussionmentioning

confidence: 99%

Small Bowel Obstruction Caused by the Ingestion of a Wooden Toothpick: The CT findings and a Literature Review

et al. 2017

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We present a case in which the accidental ingestion of a toothpick caused duodenal perforation and small intestinal obstruction. A 58-year-old man visited our emergency room with acute abdominal pain. Computed tomography (CT) showed obstructive ileus as well as a foreign body penetrating the duodenum, which was identified as a toothpick and removed endoscopically. Unenhanced CT was superior in detecting the object. The patient has been doing well since the operation.

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“…Computed tomography (CT) scan has been helpful in the detection of nonmetallic foreign body perforation. Fish bone perforation typically appears as a linear calcified lesion surrounded by an inflamed area on CT scan [6]. Evidence of pneumoperitoneum is only seen in approximately 30% of patients with intestinal perforation caused by fish bone ingestion [1].…”

Section: Discussionmentioning

confidence: 99%

Intestinal perforation due to fish bone diagnosed preoperatively by computed tomography

Kishi¹,

Iida²,

Tsukahara³

et al. 2017

IJCRI

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International Journal of Case Reports and Images (IJCRI) is an international, peer reviewed, monthly, open access, online journal, publishing high-quality, articles in all areas of basic medical sciences and clinical specialties.Aim of IJCRI is to encourage the publication of new information by providing a platform for reporting of unique, unusual and rare cases which enhance understanding of disease process, its diagnosis, management and clinico-pathologic correlations. IJCRI publishes CASE REPORT OPEN ACCESSIntestinal perforation due to fish bone diagnosed preoperatively by computed tomography Yoshimasa Kishi, Atsuyoshi Iida, Kohei Tsukahara, Atsunori Nakao CASE REPORTA 73-year-old female was presented to emergency department with a one-day history of increasing lower abdominal pain. The patient had attended a wedding party of her grandson and ate baked red snapper. Her past medical history was unremarkable and she was taking medication for hypertension. Her vital signs included blood pressure 119/66 mmHg, pulse rate 80 beats/min, and body temperature 36.2°C. On examination, the patient had a slightly distended abdomen with significant right iliac fossa guarding and tenderness. Her white cell count and C-reactive protein levels were 11900/ mm 3 and 1.24 mg/dL, respectively, indicating systemic inflammation. Abdominal computed tomography demonstrated pneumoperitoneum and fluid within the abdominal cavity, as well as dilated intestine, suggesting diffuse peritonitis due to alimentary tract perforation (Figures 1 and 2). Under general anesthesia, the patient underwent diagnostic/therapeutic laparoscopy, which showed acutely inflamed ileum and purulent ascites. A foreign body, assumed to be a fish bone, was observed piercing through the small bowel wall at the ileum. As the site of perforation was not clearly determined via

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CT findings of accidental fish bone ingestion and its complications

Cited by 47 publications

References 10 publications

EFSUMB Gastrointestinal Ultrasound (GIUS) Task Force Group: Celiac sprue and other rare gastrointestinal diseases ultrasound features

EFSUMB Gastrointestinal Ultrasound (GIUS) Task Force Group: Celiac sprue and other rare gastrointestinal diseases ultrasound features

Small Bowel Obstruction Caused by the Ingestion of a Wooden Toothpick: The CT findings and a Literature Review

Intestinal perforation due to fish bone diagnosed preoperatively by computed tomography

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