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Gastric Perforation due to Fish Bone
Ana Luísa Proença1, Lucinda Bogalho1
1Radiology, Centro Hospitalar Universitário Lisboa Central, Lisbon, PRT.
Cureus
|June 12, 2020
Summary
Ingesting fish bones is common, but perforation is rare. This case highlights the diagnostic challenges of gastric perforation by fish bone, emphasizing computed tomography for surgical guidance.
Area of Science:
- Gastroenterology
- Surgical Emergencies
- Radiology
Background:
- Unintentional fish bone ingestion is a frequent emergency room presentation.
- While most foreign bodies pass uneventfully, 1% can cause gastrointestinal perforation, leading to serious complications like peritonitis and abscesses.
- Diagnosis is often delayed due to non-specific symptoms.
Observation:
- A case of gastric perforation secondary to a fish bone is presented.
- The clinical presentation was non-specific, posing diagnostic challenges.
Findings:
- Computed tomography (CT) is crucial for diagnosing fish bone perforation.
- CT aids in surgical planning and management of acute abdomen and peritonitis.
Implications:
- Early recognition and diagnosis of fish bone perforation are vital.
- Radiological imaging, particularly CT, is essential for timely surgical intervention.
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