Small bowel perforation secondary to fish bone ingestion managed non-operatively

Michael A. Ward, Matthew C Tews

Research output: Contribution to journalArticle

10 Citations (Scopus)

Abstract

Background: The presurgical diagnosis of foreign body (FB)-induced bowel perforation is exceedingly difficult. Perforation most commonly occurs in the ileocecal region and typically mimics diagnoses more common to the right lower quadrant (RLQ), including appendicitis and diverticulitis. Objectives: This report will discuss the events of this particular case of fish bone ingestion and subsequent small bowel perforation and the epidemiology, diagnosis, and management of FB ingestions. Case Report: This case describes a 28-year-old man who presents with a 4-h history of sharp, stabbing abdominal pain localized to the RLQ. Abdominal computed tomography revealed a 1.5-cm curvilinear foreign body traversing through a loop of small bowel in the RLQ. Upon further questioning, the patient recalled eating northern pike 2 days before. During his hospital stay, the patient noted improvement of his symptoms and thus was managed non-operatively without complication. The patient was discharged after complete resolution of his abdominal pain on hospital day number 2. Conclusion: This represents a rare case of small bowel perforation secondary to fish bone ingestion that was managed non-operatively without complication.

Original languageEnglish (US)
JournalJournal of Emergency Medicine
Volume43
Issue number5
DOIs
StatePublished - Nov 1 2012
Externally publishedYes

Fingerprint

Fishes
Eating
Foreign Bodies
Bone and Bones
Abdominal Pain
Esocidae
Diverticulitis
Appendicitis
Length of Stay
Epidemiology
Tomography

Keywords

  • appendicitis
  • fish bone
  • foreign body ingestion
  • perforation
  • small bowel

ASJC Scopus subject areas

  • Emergency Medicine

Cite this

Small bowel perforation secondary to fish bone ingestion managed non-operatively. / Ward, Michael A.; Tews, Matthew C.

In: Journal of Emergency Medicine, Vol. 43, No. 5, 01.11.2012.

Research output: Contribution to journalArticle

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