Duodenocaval fistula as a result of a fish bone perforation

Brandão, Daniel; Canedo, Alexandra; Maia, Maria Ambrosina Cardoso; Ferreira, Joana; Vaz, Guedes

doi:10.1016/j.jvs.2009.12.049

Cited by 18 publications

(22 citation statements)

References 15 publications

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“…6 Other minor risk factors for accidental fish bone ingestion include fast eating, extremes of age (children or elderly), alcohol abuse and mental retardation. 6,8 Fish bone perforation of the GI tract has several clinical manifestations, such as abdominal pain, vomiting and fever, occasionally including melena and bowel obstruction. In addition, the patients are often unaware of the accidental fish bone ingestion.…”

Section: Discussionmentioning

confidence: 99%

Gastric Perforation due to Fish Bone Ingestion: a Case Report

Wada

Sasao

Oku

2016

J of Gen and Family Med

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A 74-year-old man was admitted to our hospital due to low-grade fever and severe epigastric pain. Abdominal computed tomography revealed a linear structure surrounded by a small amount of air that had pierced the angular region of the gastric wall. Esophagogastroduodenoscopy showed that the structure was a fish bone. Gastric perforation due to fish bone ingestion is rare and almost all of the cases need surgical procedures. In this case, we endoscopically removed the foreign body with forceps and clipped the hole. Antimicrobial therapy was performed for one week, and the symptoms were completely improved.

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Section: Discussionmentioning

confidence: 99%

Gastric Perforation due to Fish Bone Ingestion: a Case Report

Wada

Sasao

Oku

2016

J of Gen and Family Med

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“…However, some cases have been successfully treated using antibiotics alone. [12][13][14][15] For chronic cases, we suggest starting with antibiotic treatment to reduce any inflammation, followed by drainage of the abscess and removal of the foreign body. This is because minimization of the inflammation will facilitate any surgical treatment.…”

Section: Discussionmentioning

confidence: 99%

Successfully Treated Intra-Abdominal Abscess Caused by Fish Bone With Perforation of Ascending Colon: A Case Report

Yamamoto

Sasaki

et al. 2015

International Surgery

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Ingestion of a foreign body is not uncommon, but rarely results in perforation of the gastrointestinal tract. The most common sites of perforation are reportedly the narrowest parts of the bowel, and perforation of the right side of the colon is rare. We report herein the case of a 69-year-old man who presented with an 8-week history of right upper abdominal pain. Laboratory data revealed inflammation at the first hospital visit. Computed tomography revealed a hypodense lesion containing a hyperdense foreign body in the abdomen. Intra-abdominal abscess caused by foreign body perforation was diagnosed. After administering antibiotics for 2 weeks, surgery was performed. Symptoms had resulted from perforation of the ascending colon by a fish bone. Key words: Fish bone -Colon perforationA ccidental ingestion of a foreign body such as a fish or chicken bone is relatively common. In most cases, the ingested foreign body passes through the gastrointestinal tract uneventfully, and perforation of the bowel by the foreign body reportedly occurs in less than 1% of cases.1 The most common sites of perforation are reportedly the narrowest parts of the bowel, at either the ileocecal valve or recto-sigmoid junction, and perforation of the right side of the colon is rare. 2 We report an unusual case involving perforation of the ascending colon by a fish bone.

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“…[3][4][5] This typically arises as a complication from trauma, peptic ulcer disease, or migration of ingested foreign bodies. 6 Guillem et al 4 reported 37 cases of DCF with literature review.…”

Section: Discussionmentioning

confidence: 99%

“…When a DCF is diagnosed, patients are usually septic and unstable, leading to prompt surgery. 3 Regarding DCF with foreign body ingestion, eight patients have been reported in the English-language literature. [9][10][11][12][13] Six of these cases were due to toothpicks, one due to bone fragments, and one due to a fish bone.…”

Section: Discussionmentioning

confidence: 99%

Successful percutaneous thrombectomy of an infected vena-caval thrombus due to a toothpick

Kim

et al. 2011

Journal of Vascular Surgery

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We report a case of a 25-year-old Caucasian female with a septic thrombosis in the inferior vena cava (IVC) which contained a toothpick. She was admitted with fever and abdominal pain for 2 weeks. Computed tomography scan showed thrombus with air density in the suprarenal IVC. However, there was no evidence of duodenocaval fistula. Because of the patient's reluctance for surgery, endovascular therapy was tried. A partially-deployed nitinol stent was used as a filter, and aspiration thrombectomy was performed. Unexpectedly, a toothpick was retrieved within the stent. Anticoagulants and antibiotics were administered. A follow-up computed tomography after 2 months showed total resolution of the residual thrombus.

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Duodenocaval fistula as a result of a fish bone perforation

Cited by 18 publications

References 15 publications

Gastric Perforation due to Fish Bone Ingestion: a Case Report

Gastric Perforation due to Fish Bone Ingestion: a Case Report

Successfully Treated Intra-Abdominal Abscess Caused by Fish Bone With Perforation of Ascending Colon: A Case Report

Successful percutaneous thrombectomy of an infected vena-caval thrombus due to a toothpick

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