Guide to extraluminal fish bone retrieval with serial computed tomography scans: a case series.
Ting Ting Yew1,2,3, Ing Ping Tang4,5, Li Yun Lim4,5
1Department of Radiology, Faculty Medicine and Health Sciences, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia. ttyew@unimas.my.
Journal of Medical Case Reports
|August 14, 2024
Summary
Fish bone ingestion can migrate outside the digestive tract, posing a challenge. Multiplanar reconstruction CT scans are crucial for locating these migrated fish bones and planning surgical removal.
Area of Science:
- Medical Imaging
- Gastroenterology
- Surgical Procedures
Background:
- Fish bone ingestion is a frequent emergency department presentation.
- Extraluminal migration of ingested fish bones presents significant diagnostic and therapeutic difficulties.
- A multidisciplinary strategy is essential for managing complex fish bone cases.
Observation:
- Four cases of extraluminal fish bone migration are presented.
- Patients experienced symptoms ranging from throat pain to fever and neck swelling.
- Delayed presentation occurred in one case, highlighting the potential for serious complications.
- Repeat computed tomography (CT) scans with multiplanar reconstruction were utilized.
Findings:
- Multiplanar reconstruction of CT scans effectively pinpointed the fish bone's location.
- The migratory path of the fish bone was visualized, aiding surgical planning.
- Surgical removal was successfully guided by advanced imaging techniques.
Implications:
- Multiplanar reconstruction is vital for accurate localization of migrated fish bones.
- This imaging technique aids in demonstrating the fish bone's migratory route.
- Accurate surgical planning is facilitated, improving patient outcomes for fish bone ingestion.
Keywords:
Case reportFish boneForeign body migrationMultiplanar reconstructionSerial computer tomography
