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. 2016 Feb 12;100(1):30.
doi: 10.5334/jbr-btr.1047.

Friday: Fish Day

Pieter Hoste  1 , Koenraad Mortele  2 , Marc Lemmerling  3 , Dirk Dewilde  3 , Adelard De Backer  3
Affiliations

Friday: Fish Day

Pieter Hoste et al. J Belg Soc Radiol. .

Abstract

A 78-year-old man presented with diffuse abdominal pain, localized peritonitis and raised inflammatory markers. CT revealed an mesentery abcess with a linear high density structure in continuity with the adjacent small bowel lumen. Laparoscopy showed a perforation by a fish bone. Gastrointestinal tract perforation by foreign body ingestion is rare complication (1%). There are some risk factors and prefered locations of perforation. Time interval between ingestion and complication can vary extremely.

Keywords: abdominal abcess; complications; foreign body; perforation; peritonitis; risk factors.

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Figures

Figure 1
Figure 1
Axial (A and B) and sagittal (C) reformations shows linear high-density structure (arrow) within the inflammatory mass and in continuity with the adjacent small bowel lumen.
See this image and copyright information in PMC

References

    1. Goh B, Tan Y, Lin S, et al. CT in the preoperative diagnosis of fish bone perforation of the gastrointestinal tract. Am J Roentgenol. 2006;187:710–714. doi: 10.2214/AJR.05.0178. - DOI - PubMed

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