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Endoscopic Removal of Duodenal Perforating Fishbone - A Case Report
Background:
Accidental ingestion of foreign bodies is common in clinical practice. While perforation of the ileum and jejunum due to the ingested foreign body is common, duodenal perforation is rare. In this report, our experience with this rare entity is shared.
Case Report:
Here we present a 31-year-old patient with gastrointestinal tract perforation at the second part of the duodenum due to an ingested fishbone. The patient was admitted to the emergency room with abdominal pain. Right upper quadrant tenderness was detected at physical examination, and leukocytosis on the laboratory test results. Ultra-sonography was not diagnostic, however, computerized tomo-graphy showed an ingested foreign body in the second part of the duodenum. A fishbone perforating the duodenum was retrieved by endoscopy. The patient was managed non-operatively, and discharged without any problems on the third day after endoscopy.
Conclusion:
Endoscopic removal and non-operative management may be feasible in carefully selected patients with duodenal perforated fishbone ingestion.
Insights
A rare case of duodenal perforation caused by ingesting a fishbone was successfully treated. Endoscopic removal and non-operative management are feasible for select patients with fishbone-induced duodenal perforation.
Area of Science:
- Gastroenterology
- Surgical Endoscopy
Background:
- Foreign body ingestion is common, but duodenal perforation is a rare complication.
- Ileal and jejunal perforations are more frequent than duodenal perforations.
Observation:
- A 31-year-old patient presented with abdominal pain and signs of gastrointestinal perforation.
- Computerized tomography identified a fishbone in the second part of the duodenum.
- Endoscopic retrieval of the fishbone was performed.
Findings:
- The patient experienced duodenal perforation due to an ingested fishbone.
- Non-operative management was initiated post-endoscopic retrieval.
- The patient recovered fully and was discharged on the third day.
Implications:
- Endoscopic removal of ingested fishbones causing duodenal perforation is a viable treatment option.
- Non-operative management can be successful in carefully selected cases of duodenal perforation from fishbone ingestion.
- This case highlights a rare but manageable cause of duodenal perforation.
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