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Perianal abscess due to a long fish bone: a case report
Taro Ikeda, Ryunosuke Konaka1, Yukari Adachi1
1Department of Surgery, Sanda City Hospital, Hyogo, Japan.
Journal of Surgical Case Reports
|March 29, 2021
Summary
A rare case of perianal abscess caused by an ingested fish bone in a denture-wearing patient highlights the importance of considering foreign bodies. Prompt diagnosis and surgical removal of the fish bone are crucial to prevent sepsis.
Area of Science:
- Gastroenterology
- Surgical Pathology
Background:
- Perianal abscesses are uncommon complications of ingested foreign bodies.
- Edentulous patients with dentures may be at increased risk.
Observation:
- A 72-year-old man with a denture presented with anal pain, swelling, and redness.
- Computed tomography identified a perianal abscess containing a linear structure.
Findings:
- A 5 cm fish bone was surgically removed from the perianal abscess cavity.
- The patient recovered after abscess drainage and antibiotic treatment.
Implications:
- Ingested fish bones can lead to serious perianal infections.
- Timely diagnosis and intervention are vital to prevent severe complications like sepsis.

