Related Experiment Video
Updated: Oct 26, 2025
03:05
Author Spotlight: Advancing Early Detection and Treatment of Gastrointestinal Tumors
Published on: February 16, 2024
1.2K
Two cases of gastric penetration by fish bones with differing courses
Ryo Masaoka1, Rion Masaoka1, Kazunori Hayashi1
1Department of Gastroenterology, Dokkyo Medical University Saitama Medical Center, Koshigaya City, Japan.
Oxford Medical Case Reports
|July 26, 2021
Summary
Fish bone penetration of the stomach is rare but can lead to perforation. Management varies, with conservative treatment for some and surgical consideration for others, highlighting the importance of diagnostic imaging.
Area of Science:
- Gastroenterology
- Surgical Endoscopy
Background:
- Most swallowed foreign bodies pass naturally.
- Gastric perforation by fish bones is uncommon due to stomach defenses.
Observation:
- Two cases of gastric perforation by fish bones are presented.
- Penetration site was the antral region.
- Clinical courses varied significantly.
Findings:
- One patient was treated conservatively with antibiotics.
- Another patient required surgical consideration due to hematoma and pancreatic involvement.
- Severe comorbidities precluded surgery in the second case, necessitating close monitoring.
Implications:
- The direction of fish bone penetration influences clinical outcomes.
- Diagnostic imaging is crucial for accurate assessment and management.
- Conservative and surgical approaches are viable depending on case specifics.
Related Concept Videos
01:28Esophageal Perforation-II: Clinical Manifestations and Management
204
Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Clinical Manifestations:
204
01:23Gastritis III: Clinical Manifestations and Management
629
The clinical manifestations of gastritis can vary depending on the cause and type of gastritis, but some common symptoms may include the following.
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
Clinical manifestations of acute gastritis
The patient with acute gastritis may have a rapid onset of symptoms, such as epigastric pain or discomfort, dyspepsia, anorexia, hiccups, or nausea and vomiting, which can last from a few hours to a few days. Erosive or hemorrhagic gastritis may cause bleeding, which may manifest as blood in vomit or as...
629
01:28Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies
246
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
246
01:22Esophageal Perforation-I: Introduction
212
Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
The location of esophageal perforation can vary, occurring anywhere along the esophagus....
212
01:26Esophageal Strictures-II: Clinical Features and Management
203
Patients with esophageal strictures often experience a range of symptoms. Initially, they may have difficulty swallowing solid foods, which can progress to include liquids. Additional symptoms may involve chest pain or discomfort, regurgitating food and fluids, heartburn, unintentional weight loss, coughing or choking during meals, and hoarseness.
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
Healthcare providers should gather a comprehensive medical history and conduct a physical examination for diagnosis. If esophageal stricture is...
203
01:21Barrett Esophagus-II: Clinical Manifestations and Management
362
Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
362