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Case Reports
. 2019 Feb 8;2019(2):rjy368.
doi: 10.1093/jscr/rjy368. eCollection 2019 Feb.

Transverse colon perforation secondary to fish bone ingestion

Jining Dai  1 , Chitrakanti Raja Kapadia  1
Affiliations
Case Reports

Transverse colon perforation secondary to fish bone ingestion

Jining Dai et al. J Surg Case Rep. .

Abstract

Accidental ingestion of foreign bodies can be a common occurrence in clinical practice and subsequent perforation is quite rare. The rate of fish bone ingestion is predicted to be higher in some cultures given culinary differences. We report a case of 62-year-old gentleman in rural Australia who had severe left sided abdominal pain and fevers, with a presumptive diagnosis of diverticulitis. Computated tomography revealed intraabdominal abscess. Surgical intervention via laparotomy and right hemicolectomy was performed for an extensive abdominal abscess with a transverse colon perforation and fish bone foreign body in situ (Grunter fish).

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Figures

Figure 1:
Figure 1:
Computated tomography findings with axial image showing inflammatory changes involving the wall of the transverse colon left to the midline with associated abscess. Central opacification consistent with foreign body.
Figure 2:
Figure 2:
Sagittal image of anterior abdominal collection with central enhancement representing foreign body.
See this image and copyright information in PMC

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