Abstract

We described herein a 54-year-old male with gastric perforation secondary to an ingested fish bone presenting with marked pain in the epigastric area. Plain abdominal film revealed a radiopaque object in the left upper quadrant, but it was missed clinically. Subsequently an upper gastrointestinal endoscopy was performed revealing a fish bone embedded in the antrum of the stomach with a 1.5-cm free end in the gastric lumen. The fish bone measuring 3.5 cm in length was successfully removed using a polypectomy snare. No evidence of bleeding was found from the perforating site of the stomach after extraction of the impacted fish bone. Subsequently, no peritoneal sign was found and abdominal ultrasound showed no ascites. After conservative treatment, the patient was discharged on the 4th hospital day. There was no recurrence of abdominal pain after one-month follow-up.

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