Abstract
A 60-year-old man presented to the Emergency Department (ED) due to progressive left abdominal pain over 1 month. Physical examination showed a temperature of 36.8 C, a heart rate of 84 beats/min, and a blood pressure of 150/80 mm Hg, as well as a soft abdomen with left abdominal tenderness and rebound tenderness. The laboratory evaluation disclosed a white blood cell (WBC) count of 7400/mm with 83.9% segmented neutrophils. Abdominal computed tomography showed focal abscess formation in the left abdomen (Figure 1, white arrow) containing a thin rod-like high-density material (Figure 1, black arrow). Explorative laparotomy revealed an abscess adhesion between the transverse and descending colon. A granulation scar-like lesion was seen at the transverse colon. The pathologist found a suspected fish bone measuring 33 mm in the abscess. Fish bone penetration and a sealed-off perforation were suspected. The patient was discharged uneventfully 7 days postoperatively.
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