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Case Reports
. 2024 Jan 4;2024(1):rjad694.
doi: 10.1093/jscr/rjad694. eCollection 2024 Jan.

Perforated appendicitis due to fishbone

Van T Hoang  1 , The H Hoang  1 , Hoang Q Nguyen  2 , Ngoc T T Pham  3 , Tien H Vo  4 , Vichit Chansomphou  5 , Duc T Hoang  6
Affiliations
Case Reports

Perforated appendicitis due to fishbone

Van T Hoang et al. J Surg Case Rep. .

Abstract

Appendicitis is a common condition in daily clinical practice. Appendicitis due to foreign bodies is uncommon and may result from obstruction or perforation mechanism. We present a rare case of a 43-year-old male patient who was diagnosed with perforated appendicitis due to a fish bone by imaging studies and confirmed postoperatively. Confirming the fish bone causing the perforation on images is sometimes difficult, requiring the radiologist to actively search and determine the source. In addition to appendectomy, the surgeon also needs to pay attention to removing all foreign objects and treating perforations of surrounding organs.

Keywords: appendicitis; computed tomography; fishbone; foreign body; perforation.

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Conflict of interest statement

None declared.

Figures

Figure 1
Figure 1
Ultrasound images showed a large pus-filled (arrowhead) appendix with a thin internal echogenic structure (arrow) extending outward from the muscle layer with surrounding fat infiltration (asterisk).
Figure 2
Figure 2
CT images showed a dilated appendix (maximum diameter 15.5 mm) with thickened and hyperenhancing wall. A small amount of free fluid and fat stranding was seen in the right iliac fossa. There was a linear hyperdensity measuring 13 mm (arrows) perforating and extending slightly beyond the appendix. No abscess or free gas collection was detected.
Figure 3
Figure 3
Photograph of the surgical specimen showed appendicitis due to fish bone (circles).
See this image and copyright information in PMC

References

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