Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2021 May 24;2021(5):omab025.
doi: 10.1093/omcr/omab025. eCollection 2021 May.

Cecum perforation due to a fish bone

Le Thanh Dung  1   2 , Nguyen Minh Duc  2   3   4 , Thieu-Thi Tra My  2 , Le Tuan Linh  2 , Vu Dang Luu  2   5 , Pham Minh Thong  2   5
Affiliations
Case Reports

Cecum perforation due to a fish bone

Le Thanh Dung et al. Oxf Med Case Reports. .

Abstract

Foreign body (FB) ingestion is a common condition encountered in clinical practice, especially among the pediatric age group; however, this occurrence is rare among adults. Some FBs can induce the perforation of the gastrointestinal tract, including fish bones, chicken bones and toothpicks. The ingestion of FBs is rarely associated with bowel perforation, and most FBs are passed spontaneously. The ingestion of sharp and pointed objects typically produces adverse events related to the upper gastrointestinal system, and FBs are rarely retained in the colon. Bowel perforation caused by the ingestion of FBs should be diagnosed and treated in a timely manner. Here, we present the unusual case of a 51-year-old male who presented to the emergency room with complaints of acute abdominal pain secondary to fish bone ingestion, which triggered cecum perforation.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Abdominal CT scanner showed a high-density FB intra-cecum (A, arrow), with fat stranding around the cecum. Foci of gas extra-cecum and near the FB were also observed (B, arrowhead).
Figure 2
Figure 2
The length of the high-density FB was ~30 mm (A). Laparoscopic cecectomy confirmed a fish bone, measuring ~30 mm, resulting in cecum perforation (B).
See this image and copyright information in PMC

References

    1. Rodríguez-Hermosa JI, Codina-Cazador A, Sirvent JM, Martín A, Gironès J, Garsot E. Surgically treated perforations of the gastrointestinal tract caused by ingested foreign bodies: perforations by ingested foreign bodies. Colorectal Dis 2008;10:701–7. doi: 10.1111/j.1463-1318.2007.01401.x. - DOI - PubMed
    1. Kuzmich S, Burke CJ, Harvey CJ, Kuzmich T, Andrews J, Reading N, et al. . Perforation of gastrointestinal tract by poorly conspicuous ingested foreign bodies: radiological diagnosis. Br J Radiol 2015;88:20150086. doi: 10.1259/bjr.20150086. - DOI - PMC - PubMed
    1. Nicolodi GC, Trippia CR, Caboclo MFFS, FG C, Miller WP, RR L, et al. . Intestinal perforation by an ingested foreign body. Radiol Bras 2016;49:295–9. doi: 10.1590/0100-3984.2015.0127. - DOI - PMC - PubMed
    1. Bansod A, Mehsare P, Kolpakwar S, Jantli M, Laxminarayan L. Small bowel perforation secondary to unusual foreign body – a case report. Int Surg J 2016;3:2362–4. doi: 10.18203/2349-2902.isj20163637. - DOI
    1. Gachabayov M, Isaev M, Orujova L, Isaev E, Yaskin E, Neronov D. Swallowed dentures: two cases and a review. Ann Med Surg 2015;4:407–13. doi: 10.1016/j.amsu.2015.10.008. - DOI - PMC - PubMed

Publication types

LinkOut - more resources