Fish Bone Perforation Mimicking Acute Appendicitis

Almoudaris,

doi:10.4021/jmc151w

Cited by 6 publications

(6 citation statements)

References 8 publications

(8 reference statements)

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“…Foreign body-associated intestinal perforation mimicking acute appendicitis has been reported before, and such perforations are typically repaired successfully. [7,8] In our patients, the first symptom was abdominal pain, which was probably caused directly by the foreign bodies. The foreign body could not be digested in the upper digestive tract and failed to be discharged and was therefore retained in the intestine.…”

Section: Discussionmentioning

confidence: 71%

Small bowel perforation secondary to foreign body ingestion mimicking acute appendicitis

Zheng²,

et al. 2019

Medicine

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Rationale: Foreign body ingestion is often encountered in clinical practice; however, intestinal perforation owing to foreign body ingestion is rare. Patient concerns: Here, we present the cases of 2 patients who accidentally swallowed foreign bodies and later presented with pain in the right lower abdominal quadrant. Diagnoses: Both patients were initially diagnosed with acute appendicitis and underwent immediate emergency laparotomy. Interventions: During the operation, the appendix was found to be only mildly inflamed. On transection of the appendix, the mucosa was found to be inflamed, and yellow-white exudate was noted. We, therefore, decided to explore the entire bowel. The bowel examination revealed small bowel perforations, and palpation of the adjacent bowel revealed a hard, sharp object. The object was removed through the perforation site, the perforation was repaired, and the abdomen was closed in layers. Outcome: The postoperative recovery, in both cases, was uneventful. Lessons: Patients who swallow sharp or large foreign bodies should undergo endoscopy as soon as possible to avoid intestinal perforation. Clinicians should inquire about a history of foreign body ingestion. The preoperative diagnosis of intestinal perforation secondary to foreign body ingestion requires a high degree of clinical suspicion and awareness.

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Section: Discussionmentioning

confidence: 71%

Small bowel perforation secondary to foreign body ingestion mimicking acute appendicitis

Zheng²,

et al. 2019

Medicine

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“…The case had jejunal perforation due to the fish bone [ 14 ]. A fish bone perforation mimicking acute appendicitis is also reported [ 15 ]. While fish bones are sharp and perforations are reported [ 14 , 15 ], the case presented here had two small jejunal perforations due to a buffalo bone.…”

Section: Discussionmentioning

confidence: 99%

Jejunal perforation due to ingested buffalo bone mimicking acute appendicitis

et al. 2016

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BackgroundForeign body ingestion is seen quite frequently in clinical practice, intestinal perforation due to this is rare. The foreign body often mimics another cause of acute abdomen and requires an emergency surgical intervention. The majority of patients do not recall ingesting sharp foreign bodies.Case presentationWe report an interesting case of a fifty five year-old man who presented with pain in the right iliac fossa with localised tenderness which was clinically diagnosed as acute appendicitis. During the operation, the presence of purulent collection and the inflamed bowel with flakes raised suspicion of bowel perforation. The assessment of the proximal small bowel revealed two small perforations in the jejunum. A hard, bony and sharp object was extracted and the perforations were closed. Post-operative recovery was uneventful. Detailed food history was taken following the recovery of the patient from surgery. It revealed the history ingestion of home prepared buffalo meat. The extracted object was identified as ‘buffalo bone’ by the patient and the care taker of the patient. The jejunum was perforated by the ingested buffalo bone causing local peritonitis in right iliac fossa.ConclusionIntestinal perforation by ingested foreign bodies should be suspected in acute abdomen. It requires a high degree of suspicion and awareness on the part of the clinician.Electronic supplementary materialThe online version of this article (doi:10.1186/s13104-016-2127-y) contains supplementary material, which is available to authorized users.

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“…Some of them are sharp and some blunt. Among these, sharp objects i.e-fish bones [9,10,11], chicken bones [12,13,14,15]. metallic rods and needles [12,16], tooth picks [17], pins and needles remain the most common cause of gastro intestinal perforation [2].Very rarely pens, metal wires, small trocar [18], spoon handle, nail clippers, nails, laundry pegs, dental prosthesis [19,20,21], batteries [22], injurious foreign agent [23], wireless capsule endoscopy [24,25,26], migrating biliary sent, gossybiopioma [27], schistosomia japonicum [28], unusual FB [29] may also cause gastro intestinal perforations.…”

Section: Discussionmentioning

confidence: 99%

“…As perforation generally leads to an acute abdomen, the treatment of choice is surgery. However, the patient with localized tenderness without any temperature spikes or tachycardia and CT evidence of localized abscess, micro-perforation, fistula or ileus can often be managed conservatively with broad spectrum antibiotics along with percutaneous drainage, laparoscopic washout and drainage [9].…”

Section: Discussionmentioning

confidence: 99%

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Fish Bone Perforation of Small Bowel Mimicking Acute Appendicitis

Islam

Maughn

Harnarayn

et al. 2016

Int. J. Res. Granthaalayah

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Accidental ingestion of foreign bodies is a commonly encountered event in clinical practice. However, small bowel perforation due to a fish bone is a rare phenomenon. Often, the exact diagnosis is missed preoperatively and is revealed only at laparotomy. Delay in diagnosis and treatment can be associated with significant morbidity and mortality. We report a case of 54- year male who presented with right lower quadrant pain with nausea and vomiting. Clinically, Acute appendicitis was diagnosed. Computerized tomography (CT) of the abdomen confirmed pockets of free air in the right lower quadrant with fat streaking suggestive of perforated ileum. On exploratory laparotomy, the ileal perforation was confirmed secondary to a fish bone. Although rare, foreign body perforation of the small bowel should be entertained in the differential diagnosis in certain groups of patients presenting with acute abdomen.

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Fish Bone Perforation Mimicking Acute Appendicitis

Cited by 6 publications

References 8 publications

Small bowel perforation secondary to foreign body ingestion mimicking acute appendicitis

Small bowel perforation secondary to foreign body ingestion mimicking acute appendicitis

Jejunal perforation due to ingested buffalo bone mimicking acute appendicitis

Fish Bone Perforation of Small Bowel Mimicking Acute Appendicitis

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