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Related Experiment Videos

Small-bowel perforation caused by fish bone.

Sheng-Der Hsu1, De-Chuan Chan, Yao-Chi Liu

  • 1Division of General Surgery, Department of Surgery, Tri-Service General Hospital, 325 Section 2, Cheng-Kung Road, Neihu 114, Taipei, Taiwan.

World Journal of Gastroenterology
|March 29, 2005
PubMed
Summary
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A fish bone caused a rare small-bowel perforation, mimicking appendicitis. Prompt surgical intervention involving bone removal and bowel resection led to a full recovery.

Area of Science:

  • Gastroenterology
  • Surgical Pathology

Background:

  • Small-bowel perforation from foreign bodies is seldom diagnosed preoperatively.
  • Nonspecific symptoms often lead to misdiagnosis, resembling appendicitis or diverticulitis.

Observation:

  • A 62-year-old woman presented with right iliac fossa pain and fever, initially suspected as acute appendicitis.
  • Intraoperative findings revealed a swollen, erythematous small bowel segment with a penetrating fish bone.

Findings:

  • A sharp fish bone (gray snapper) was identified as the cause of the small-bowel perforation.
  • Surgical management included foreign body removal, segmental resection of the terminal ileum and ascending colon.

Implications:

  • Highlights the importance of considering foreign body ingestion in cases of unexplained small-bowel perforation.

Related Experiment Videos

  • Demonstrates successful surgical management and favorable outcomes for this rare condition.