Fish bone as a foreign body

Kumar, Manoj; Joseph, George; Kumar, Seena; Clayton, M. I.

doi:10.1258/002221503322113058

Cited by 23 publications

(21 citation statements)

References 4 publications

(4 reference statements)

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“…The plain radiograph is an unreliable tool in the diagnosis of ingested fish bone, as the degree of radio-opacity of the bone varies with the species of fish (15,16). This is in contrast to the chicken bone, which is almost always radio-opaque.…”

Section: Discussionmentioning

confidence: 99%

Pancreatic and Hepatic Abscess Secondary to Fish Bone Perforation of the Duodenum

2005

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Section: Discussionmentioning

confidence: 99%

Pancreatic and Hepatic Abscess Secondary to Fish Bone Perforation of the Duodenum

2005

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“…[11,12] This problem has been illustrated in studies of fish bone ingestion showing that the degree of radiopacity of the bone depends on the species of fish. [13,14] In contrast, chicken bones are almost always radiopaque. Even when fish bones are sufficiently radiopaque to be visualized on radiographs, large soft-tissue masses and fluid can obscure the minimal calcium content of the bone, particularly in altered or obese patients.…”

Section: Discussionmentioning

confidence: 99%

A fish bone causing ileal perforation in the terminal ileum

Uysal¹,

Ulusoy²,

Duran³

et al. 2012

Ulus Travma Acil Cerrahi Derg

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Gastrointestinal sistemin yabancı cisimlerle perforasyonu farklı klinik tablolarla kendini gösterebilir ve operasyon öncesi doğru tanı nadiren konulur. Biz hastanemize sağ alt karın ağrısı ile başvuran, klinik olarak akut apandisit ve divertikülit öntanıları düşünülen, 69 yaşındaki kadın hastanın multidedektör bilgisayarlı tomografi incelemesinde balık kılçığına bağlı terminal ileum perforasyonu saptadık. Bu gibi olgularda doğru tanı koyabilmek için öncelikle klinik olarak şüphelenmek gerekir.Anahtar Sözcükler: Bağırsak perforasyonu; balık kılçığı; multidedektör bilgisayarlı tomografi.Foreign body perforation of the gastrointestinal (GI) tract has diverse clinical manifestations, and the correct preoperative diagnosis is seldom made. We report the case of a 69-year-old woman who experienced severe pain in the right iliac fossa. The presumptive diagnosis was acute purulent appendicitis or diverticulitis. Multidetector computed tomography (MDCT) imaging showed the fish bone perforation of the terminal ileum. A high index of suspicion should always be maintained in order for the correct diagnosis to be made.Key Words: Bowel perforation; fishbone; multidetector computed tomography.Foreign body (FB) ingestion is a common clinical problem seen in emergency departments. Most ingested FBs pass through the gastrointestinal (GI) tract uneventfully within one week, [1] and GI perforation is rare, occurring in less than 1% of patients. [2,3] Fish bones are the most commonly ingested objects and the most common cause of FB perforation of the GI tract. FB perforation of the GI tract has diverse clinical manifestations, and the correct preoperative diagnosis is seldom made.We report the case of fish bone perforation of the distal ileum, resulting in a clinical presentation mimicking acute appendicitis. CASE REPORTA 69-year-old woman, with no previous abdominal complaints, was admitted to our emergency department with acute abdominal pain in the lower right quadrant for the preceding two days. There was no nausea, vomiting or diarrhea. Physical examination revealed a body temperature of 38.2°C. An abdominal examination showed localized tenderness in the lower right quadrant with rebound and voluntary guarding. Laboratory tests indicated an elevated white cell count of 12,400 with 88% neutrophils. A plain X-ray of the abdomen showed local ileus in the lower right quadrant. Sonography of the whole abdomen revealed minimal fluid collection in the pelvic region. The appendix could not be visualized due to the overlying small intestinal loops. The presumptive diagnosis was acute purulent appendicitis and an emergency appendectomy was planned. Before the emergency operation, abdominal multidetector computed tomography (MDCT) imaging was planned for the patient. MDCT showed a localized pneumoperitoneum surrounded by inflammatory mesenteric fat that was found in the vicinity of a short focally thickened ileal segment impacted by the fish bone (Figs. 1, 2). The appendix appeared normal and there was a minimal pelvic fluid collection. Th...

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“…Furthermore, a plain X-ray is unreliable in the diagnosis of ingested fi sh bones because the degree of radio-opacity of the bone varies with the species of fi sh. 8,9 A CT scan has been shown to be more helpful in detecting ingested fi sh bones. 10,11 It often reveals a linear calcifi ed body corresponding to a bone.…”

Section: Discussionmentioning

confidence: 99%

Fish bone penetration of the duodenum extending into the pancreas: Report of a case

et al. 2010

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We report a case of fish bone penetration of the duodenum extending into the pancreatic head, which was successfully treated by surgery. A 73-year-old woman was admitted with upper abdominal dull pain that had persisted for 3 days. Computed tomography showed a linear calcified body, which appeared to penetrate the posterior wall of the duodenal bulb into the pancreatic head. A laparotomy was performed based on the preoperative diagnosis of localized peritonitis caused by penetration of the duodenum into the pancreas by an ingested foreign body. The foreign body was safely removed from both the pancreas and duodenum and was found to be a fish bone, measuring 4 cm in length. Neither an abscess nor hematoma was detected at the site of the pancreatic head. The postoperative course was uneventful. This case demonstrates an unusual presentation of fish bone penetration of the duodenum with a migration to the pancreas.

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Fish bone as a foreign body

Cited by 23 publications

References 4 publications

Pancreatic and Hepatic Abscess Secondary to Fish Bone Perforation of the Duodenum

Pancreatic and Hepatic Abscess Secondary to Fish Bone Perforation of the Duodenum

A fish bone causing ileal perforation in the terminal ileum

Fish bone penetration of the duodenum extending into the pancreas: Report of a case

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