Abstract
A 78-year-old man presented with diffuse abdominal pain, localized peritonitis and raised inflammatory markers. CT revealed an mesentery abcess with a linear high density structure in continuity with the adjacent small bowel lumen. Laparoscopy showed a perforation by a fish bone. Gastrointestinal tract perforation by foreign body ingestion is rare complication (1%). There are some risk factors and prefered locations of perforation. Time interval between ingestion and complication can vary extremely.
Highlights
Laparoscopy showed a perforation by a fish bone
A linear high-density structure was noted within the inflammatory mass and was in continuity with the adjacent small bowel lumen (Figure A and B, arrow)
Time interval between ingestion of the foreign body, complication and onset of clinical symptoms may vary between days, months or even years, making the diagnosis based on clinical findings and anamnesis very difficult
Summary
Time interval between ingestion of the foreign body, complication and onset of clinical symptoms may vary between days, months or even years, making the diagnosis based on clinical findings and anamnesis very difficult. Laparoscopy showed a perforation by a fish bone. Gastrointestinal tract perforation by foreign body ingestion is rare complication (1%).
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