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Small bowel perforation due to fish bone: A case report
Huseyin Pulat1, Oktay Karakose1, Mehmet Fatih Benzin2
1Department of Surgical Oncology, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey.
Turkish Journal of Emergency Medicine
|May 31, 2016
Summary
Foreign body ingestion can cause rare small bowel perforations. This case highlights a fish bone causing microperforation in an elderly patient, emphasizing its consideration in acute abdomen diagnoses.
Area of Science:
- Gastroenterology
- Surgical Case Reports
Background:
- Accidental foreign body ingestion is common.
- Small bowel perforation secondary to foreign body ingestion is rare.
Purpose of the Study:
- To report a rare case of small bowel perforation caused by foreign body ingestion.
- To highlight the diagnostic considerations for acute abdomen.
Main Methods:
- Case report of an 80-year-old female with acute abdomen.
- Diagnostic imaging using contrast-enhanced abdominal computed tomography.
- Emergency surgical intervention and histopathological confirmation.
Main Results:
- Computed tomography revealed small bowel perforation.
- A fish bone was identified as the foreign body causing microperforation in the terminal ileum.
- Successful surgical debridement and primary repair were performed.
Conclusions:
- Small bowel perforation due to foreign body ingestion should be considered in the differential diagnosis of acute abdomen.
- Prompt diagnosis and surgical management are crucial for favorable outcomes.
