Extra luminal migration of ingested fish bone to the spleen as an unusual cause of splenic rupture: Case report and literature review

Sierra‐Ruiz, Melibea; Sáenz-Copete, Juan C.; Enríquez-Marulanda, Alejandro; Ordóñez, Carlos A.

doi:10.1016/j.ijscr.2016.06.028

Cited by 8 publications

(6 citation statements)

References 21 publications

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“…The post-endoscopy micro-perforation and pneumo-peritoneum were successfully treated conservatively with antibiotics [ 20 ]. A similar case to ours describes the extra-colonic migration of a fish bone to the spleen complicated with a hematoma and indication of surgical intervention [ 21 ]. Another group of authors describe a similar approach to ours in a pediatric patient [ 22 ].…”

Section: Discussionmentioning

confidence: 88%

Case report of abdominal left upper quadrant collection secondary to fish bone perforation

Gheorghiu¹,

Bolliet

David

et al. 2020

Medicine and Pharmacy Reports

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We present an unusual case of an intra-abdominal collection which evidenced a rare etiology and raises diagnostic particularities. Background. Fish bones ingestion is frequent, but seldom followed by complications. Those are often reported at specific sites. Objectives. This case report emphasizes the unusual presentation and site localization of a colonic perforation by a small fish bone, in the context of limited radiological accuracy at the diagnostic phase. Case presentation. A 37 year old male was admitted to the gastroenterology ward with upper and left sided abdominal pain associated with fever and marked fatigue. His medical history was marked by a sleeve gastrectomy in 2010 for obesity. Abdominal signs and elevated acute inflammatory syndrome on blood tests were followed by computer tomography which revealed a pericolic mass near the left splenic flexure. The pain and fever increased in intensity, so a laparotomy was proposed. Intraoperatively, a tumor-like lesion was found and a resection with oncologic limits was performed. Microscopic examination of the specimen revealed a fish bone, but only after surgery did the patient confirm that he had eaten fish meal the week before. The post-operative period was uneventful. Conclusion. Fish bones remain some of the most frequently ingested alimentary foreign bodies; they may cause atypical clinical presentations, frequently omitted by the patients themselves if symptoms appear delayed. They could also lead to possible high-risk complications which need to be addressed by surgeons.

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Section: Discussionmentioning

confidence: 88%

Case report of abdominal left upper quadrant collection secondary to fish bone perforation

Gheorghiu¹,

Bolliet

David

et al. 2020

Medicine and Pharmacy Reports

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“…Patients may not recall the ingestion event, and radiological findings can be subtle 1. Extraluminal foreign body migration can have significant consequences, including mediastinitis, peritonitis, liver abscesses formation and splenic rupture 2–5. Portal vein thrombosis is a rare but serious complication of extraluminal foreign body migration, as presented in this case.…”

Section: Introductionmentioning

confidence: 81%

Porta hepatis abscess and portal vein thrombosis following ingestion of a fishbone

et al. 2019

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A man in his late 50s presented to the emergency room with a 1-month history of severe abdominal pain and an endoscopic fishbone retrieval from his rectum. Serial CT scans revealed a fishbone located in the patient’s upper abdomen, which had migrated through the stomach wall, into the periportal space, causing a contained gastric perforation, development of a porta hepatis abscess and secondary portal vein thrombosis. Furthermore, the sharp tip of the fishbone lay 5 mm from the patient’s hepatic artery. He was transferred to a hepatobiliary centre where he underwent urgent exploratory laparotomy, with surgical exploration of the porta, drainage of the abscess and retrieval of the fishbone. Postoperatively, he received further treatment with antibiotics and anticoagulation and recovered without further sequelae.

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“…Initially, it was not suspected that a foreign body in the anterior wall, located away from the intramural abscess in the posterior wall, was a direct cause of the abscess. However, cases of migration of a needle into the liver, 6 FB into the spleen, 7 or FB into the urinary bladder 3,4 have previously been reported. Therefore, the migration of a foreign body toward an adjacent organ, as well as the initial perforation, should be considered if a sharp foreign body is ingested or observed.…”

Section: Discussionmentioning

confidence: 99%

Migration of an ingested fishbone to the uterine wall: A case report

Kanaoka

Hasuike

Fukuchi

et al. 2020

J of Obstet and Gynaecol

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This paper reports the first case of the removal of an ingested fishbone from the uterus. A 77‐year‐old woman presented with a 3‐day history of lower abdominal pain. An abscess‐like lesion in the posterior wall of the uterus was revealed by transvaginal ultrasonography and pelvic magnetic resonance imaging. Moreover, a curvilinear calcium density in the anterior uterine wall was revealed by abdominal computed tomography. A recto‐sigmoidal perforation and uterine abscess were suspected. Thus, hysteroscopic drainage of the abscess was performed. Hysteroscopy revealed a fishbone partially embedded in the myometrium. Its removal resulted in full recovery. This study believed that adhesions between the uterus and rectosigmoid colon after partial gastrectomy for gastric cancer may have limited abdominal symptoms by limiting the leakage of intestinal fluids. Although rare, it should be considered that migration of a fishbone into the uterus could occur.

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Extra luminal migration of ingested fish bone to the spleen as an unusual cause of splenic rupture: Case report and literature review

Cited by 8 publications

References 21 publications

Case report of abdominal left upper quadrant collection secondary to fish bone perforation

Case report of abdominal left upper quadrant collection secondary to fish bone perforation

Porta hepatis abscess and portal vein thrombosis following ingestion of a fishbone

Migration of an ingested fishbone to the uterine wall: A case report

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