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Adult Zebrafish Injury Models to Study the Effects of Prednisolone in Regenerating Bone Tissue
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Parietal mass caused by a fish bone: case report.

Driss Erguibi1,2, Khadija Kamal1,2, Yassine Eddaoudi1,2

  • 1Surgical Department of Cancerology and Liver Transplantation, University Hospital Center.

Annals of Medicine and Surgery (2012)
|February 27, 2023
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Summary
This summary is machine-generated.

Diagnosing parietal inflammation from ingested foreign bodies, like fish bones, is challenging. This case highlights the need for imaging and surgical intervention when abdominal pain suggests perforation.

Keywords:
fish boneforeign bodyparietal massperforation of the intestine

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Area of Science:

  • Gastroenterology
  • Surgical Pathology
  • Medical Imaging

Background:

  • Ingestion of foreign bodies, particularly fish bones, is common but usually resolves without complications.
  • Parietal inflammation from a retained foreign body presents atypical clinical features, making preoperative diagnosis difficult.
  • Intestinal perforation by foreign bodies is rare, typically involving sharp or elongated objects and occurring in the ileum.

Purpose of the Study:

  • To report a case of a fish bone causing parietal inflammation and perforation.
  • To emphasize the diagnostic challenges associated with ingested foreign bodies.
  • To highlight the role of imaging and surgery in managing such cases.

Main Methods:

  • A patient presented with periumbilical abdominal pain.
  • Computed tomography (CT) scan revealed periumbilical fat infiltration around a foreign body.
  • Exploratory laparotomy identified a fish bone within a parietal mass.

Main Results:

  • The CT scan successfully identified the foreign body and associated inflammation.
  • Surgical exploration confirmed the presence of a fish bone causing a parietal mass.
  • Foreign body ingestion complications can be severe despite the low incidence of perforation.

Conclusions:

  • Intestinal perforation by an ingested foreign body is a difficult diagnosis that requires a high index of suspicion in cases of abdominal pain.
  • Imaging, especially multidetector CT, is crucial for preoperative diagnosis.
  • Surgical intervention is often the primary treatment modality for foreign body-induced intestinal perforation.