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Laparoscopic removal of fish bone.
W K Cheah1, M J Mar Fan, P M Goh
1Department of Surgery, National University Hospital, Singapore.
Summary
A swallowed fish bone perforated a patient's stomach and lodged in the pancreas. Laparoscopic surgery successfully removed the foreign body, avoiding open surgery and allowing for a quick recovery.
Area of Science:
- Gastroenterology
- Minimally Invasive Surgery
- Surgical Case Reports
Background:
- Foreign body ingestion can lead to serious intra-abdominal complications.
- Perforation of the stomach wall by ingested foreign bodies is rare.
- Pancreatic head impaction presents unique surgical challenges.
Observation:
- A patient presented with a fish bone perforating the stomach wall and migrating to the pancreatic head.
- Computed tomographic (CT) imaging was crucial for accurate diagnosis and localization of the foreign body.
- The foreign body was successfully identified and located within the pancreatic head.
Findings:
- A laparoscopic approach was employed for the successful retrieval of the fish bone.
- Minimally invasive surgery avoided the need for a traditional laparotomy.
- The patient experienced an uncomplicated recovery and was discharged the following day.
Implications:
- This case highlights the feasibility and safety of laparoscopic techniques for managing complex foreign body complications.
- Laparoscopic surgery offers a less invasive alternative to laparotomy for fish bone perforation into the pancreas.
- This represents the first reported case of successful laparoscopic removal of a fish bone from the pancreatic head.