Case Report: A Case of Fish Bone Perforation of the Stomach Mimicking a Locally Advanced Pancreatic Carcinoma

Goh, Brian K. P.; Jeyaraj, Prema Raj; Chan, Hsiang-Sui; Ong, Hock‐Soo; Agasthian, Thirugnanam; Chang, Kenneth; Wong, Wai‐Keong

doi:10.1007/s10620-004-9595-y

Cited by 49 publications

(67 citation statements)

References 15 publications

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“…A review of the English literature revealed only two such cases. 6,7 In the former case, a fi sh bone penetrated the duodenum, similar to our case, and in the latter case, a fi sh bone penetrated the stomach. In these two cases, a pancreatic abscess developed.…”

Section: Discussionsupporting

confidence: 84%

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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Section: Discussionsupporting

confidence: 84%

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

et al. 2010

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“…Foreign body perforation of the GIT resulting in a pancreatic abscess is extremely unusual and has only been reported previously by our department (1). In that patient, we FISH BONE PERFORATION OF THE DUODENUM mistook the pancreatic abscess for a locally advanced pancreatic carcinoma, as the patient had no evidence of intrabdominal infection such as fever or raised total white.…”

Section: Discussionmentioning

confidence: 79%

“…Reports of hepatic abscess secondary to fish bone perforation has been limited to isolated case reports in the literature (1). The occurrence of a pancreatic abscess secondary foreign body perforation is even rarer and to our knowledge has only been reported once previously (1). To our knowledge, this is the first reported case of pancreatic and hepatic abscesses occurring secondary to fish bone perforation of the duodenum.…”

mentioning

confidence: 90%

“…However, the development of solid organ abscess such as hepatic or pancreatic abscess secondary to foreign body perforation is extremely unusual. Reports of hepatic abscess secondary to fish bone perforation has been limited to isolated case reports in the literature (1). The occurrence of a pancreatic abscess secondary foreign body perforation is even rarer and to our knowledge has only been reported once previously (1).…”

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confidence: 96%

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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.…”

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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Case Report: A Case of Fish Bone Perforation of the Stomach Mimicking a Locally Advanced Pancreatic Carcinoma

Cited by 49 publications

References 15 publications

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

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

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

A fish bone causing ileal perforation in the terminal ileum

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