Endoscopic Removal of Duodenal Perforating Fishbone - A Case Report

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.