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Surgically treated purulent pericarditis induced by ingested fish bone: a case report
Yoshifumi Itoda1, Toshiya Fukushima2, Shuhei Kawamoto2
1Department of Cardiovascular Surgery, IMS Katsushika Heart Center, 3-30-1, Katsushika, Tokyo, 124-0006, Japan. yitoda30@gmail.com.
General Thoracic and Cardiovascular Surgery Cases
|November 9, 2024
Summary
A rare case of gastrointestinal perforation by a fish bone led to acute pericarditis. Surgical drainage successfully treated the condition, with the patient recovering well and showing no recurrence.
Area of Science:
- Gastroenterology
- Cardiology
- Surgical Case Reports
Background:
- Gastrointestinal perforation from ingested fish bones is uncommon.
- Perforation can lead to severe complications like mediastinitis and cardiac tamponade.
- This case details acute pericarditis caused by a fish bone perforating the gastrointestinal tract.
Purpose of the Study:
- To report a rare instance of a fish bone causing gastrointestinal perforation and subsequent acute pericarditis.
- To highlight the diagnostic and therapeutic approach for this unusual presentation.
Main Methods:
- A 66-year-old woman presented with shortness of breath and was diagnosed with pericardial effusion and a foreign body.
- Contrast-enhanced computed tomography identified a high-density foreign body in the pericardial sac.
- Emergency open chest surgery revealed a fish bone perforating the diaphragm into the pericardial sac, which was surgically drained.
Main Results:
- A fish bone was identified as the cause of perforation and acute pericarditis.
- Surgical removal of the fish bone and drainage of purulent pericardial fluid were performed.
- The patient received postoperative antibiotics and was discharged in stable condition, with no recurrence at three months.
Conclusions:
- Gastrointestinal perforation by a fish bone is a rare but serious event.
- Acute pericarditis can be an unusual manifestation of such perforation.
- Surgical drainage is an effective treatment for fish bone-induced pericarditis.
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