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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.
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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:
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Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
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Murine Appendectomy Model of Chronic Colitis Associated Colorectal Cancer by Precise Localization of Caecal Patch
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Colonic Fishbone-Induced Perforation Involving a Penile Colorectal Carcinoma: A Case Report.

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Fishbone (FB) ingestion can cause rare gastrointestinal perforations, especially in older adults with colon cancer. Early detection and caution during fish consumption are crucial for preventing such serious complications.

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Area of Science:

  • Gastroenterology
  • Surgical Oncology
  • Radiology

Background:

  • Fishbone (FB) ingestion is an uncommon cause of gastrointestinal (GI) perforation.
  • Colorectal cancer incidence is rising, particularly in aging populations.
  • Increased fish consumption may lead to a higher prevalence of FB-related complications.

Purpose of the Study:

  • To report a rare case of colonic perforation caused by FB ingestion.
  • To highlight the potential role of co-existing colon cancer in FB-induced perforation.
  • To emphasize the importance of preoperative evaluation in such cases.

Main Methods:

  • Case report of an 83-year-old male with sigmoid colonic perforation.
  • Diagnosis confirmed by Computed Tomography (CT) and preoperative endoscopy.
  • Surgical intervention included low anterior resection and sigmoid colostomy.

Main Results:

  • CT scan revealed sigmoid colonic perforation secondary to FB and peritonitis.
  • Endoscopy identified a stalked colon tumor near the perforation site.
  • The patient recovered well following surgical treatment.

Conclusions:

  • FB-induced colorectal cancer-related perforation incidence may increase due to demographic and dietary trends.
  • This case underscores the significance of preoperative examinations, even for small polyps.
  • Older individuals are advised to exercise caution when consuming fish to prevent GI perforation.