Small bowel perforation due to fish bone: A case report

Huseyin Pulat; Oktay Karakose; Mehmet Fatih Benzin; Seyma Benzin; Recep Cetin

doi:10.1016/j.tjem.2015.11.008

Huseyin Pulat¹, Oktay Karakose¹, Mehmet Fatih Benzin², Seyma Benzin³, Recep Cetin¹

¹Department of Surgical Oncology, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey
²Department of General Surgery, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey
³Department of Radiology, Süleyman Demirel University Faculty of Medicine, Isparta, Turkey

Keywords: Foreign body; Small intestine; Perforation

Abstract

Accidental ingestion of foreign bodies are a common condition in clinical practice. However, small bowel perforation which dues to ingestion foreign bodies has been rarely seen. In this article, we report a case of small bowel perforation which dues to ingestion foreign body. A 80-year-old female patient, presenting with complaints of acute abdomen, was admitted to the emergency department. She denied abdominal pain, nausea and vomiting. The patient had tenderness and defense on the right lower quadrant. Contrast enhanced abdominal computed tomography has been used on the patient's diagnosis. This revealed small bowel perforation due to the ingestion of foreign body. The patient was operated emergency. A microperforation due to fish bone was detected on the terminal ileum. The patient underwent debridement and primary repair. The patient was discharged postoperative 7th day without problem. Bowel perforation due to the ingestion of foreign bodies should be considered in the differential diagnosis of acute abdomen.