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Review
. 2020 Jun 25:36:123.
doi: 10.11604/pamj.2020.36.123.23948. eCollection 2020.

Laparoscopic removal of an ingested fish bone from the head of the pancreas: case report and review of literature

Francesk Mulita  1 , George Papadopoulos  1 , Stelios Tsochatzis  1 , Ioannis Kehagias  1
Affiliations
Review

Laparoscopic removal of an ingested fish bone from the head of the pancreas: case report and review of literature

Francesk Mulita et al. Pan Afr Med J. .

Abstract

Most ingested foreign bodies pass spontaneously through the gastrointestinal tract and only 1% of them can perforate or penetrate the wall of stomach and duodenum and migrate into organs, such as the liver and pancreas. We report herein the case of a 59-year-old woman who presented to the emergency department with epigastric pain and fever. Computed tomography of the abdomen revealed a linear foreign body that perforate the posterior wall of the prepyloric region of the stomach. The foreign body was removed laparoscopically in one piece and was identified as a 3-cm-long fish bone. The patient recovered without complications and was discharged on the 4th postoperative day. Pancreatic foreign body is a rare entity and laparoscopic removal is warranted in majority of cases.

Keywords: Foreign body; fish bone; laparoscopic surgery; pancreas.

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Conflict of interest statement

The authors declare no competing interests.

Figures

Figure 1
Figure 1
abdominal radiography showed no abnormalities (A); computed tomography (CT) scan of the abdomen revealed a linear, hyperdense, foreign body (B,C)
Figure 2
Figure 2
a linear foreign body was found between the prepyloric region of the stomach and the pancreatic head and was safely removed from both pancreas and stomach laparoscopically (A); the foreign body was identified as a 3-cm-long fish bone (B)
See this image and copyright information in PMC

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