Abdominal Abscess due to Perforation of the Terminal Ieum Caused by a Fish Bone Treated by the Conservative Treatment Using Antibiotics

Abstract

Accidental ingestion of the foreign bodies rarely develops the perforation of gastrointestinal tract, and the perforation of gastrointestinal tract can lead to severe complications such as abscess, enteric fistula, or intestinal obstruction, and peritonitis. As the standard management for foreign body-induced bowel perforation, surgery is commonly selected. We experienced a patient whose abdominal abscess is due to perforation of the terminal ileum by a fish bone. Streptococcus intermedius was isolated from abdominal abscess. An absence of fistula between intestinal tract and abscess and a remarkable improvement of laboratory data and symptoms by using antibiotics made us select the conservative treatment. In conclusion, we succeeded to treat conservatively abdominal abscess due to perforation by a fish bone by using appropriately selected antibiotics. J Med Cases. 2017;8(11):361-364 doi: https://doi.org/10.14740/jmc2930e