Abstract
BackgroundThe majority of ingested foreign bodies pass through the gastrointestinal tract smoothly, with less than 1% requiring surgery. Fish bone could perforate through the wall of stomach or duodenum and then migrate to other surrounding organs, like the pancreas and liver.Case presentationWe report herein the case of a 67-year-old male who presented with sustained mild epigastric pain. Abdominal computed tomography revealed a linear, hyperdense, foreign body along the stomach wall and pancreatic neck. We made a final diagnosis of localized inflammation caused by a fish bone penetrating the posterior wall of the gastric antrum and migrating into the neck of the pancreas. Upper gastrointestinal endoscopy was performed firstly, but no foreign body was found. Hence, a laparoscopic surgery was performed. The foreign body was removed safely in one piece and was identified as a 3.2-cm-long fish bone. The patient was discharged from the hospital on the fifth day after surgery without any postoperative complications.ConclusionLaparoscopic surgery has proven to be a safe and effective way to remove an ingested fish bone embedded in the pancreas.
Highlights
The majority of ingested foreign bodies pass through the gastrointestinal tract smoothly, with less than 1% requiring surgery
Laparoscopic surgery has proven to be a safe and effective way to remove an ingested fish bone embedded in the pancreas
The majority of ingested foreign bodies pass through the gastrointestinal tract smoothly, with approximately 10–20% of foreign bodies requiring an endoscopic procedure, and less than 1% requiring surgery [1]
Summary
The ingestion of foreign bodies occurs commonly in clinical practice. The majority of ingested foreign bodies pass through the gastrointestinal tract smoothly, with approximately 10–20% of foreign bodies requiring an endoscopic procedure, and less than 1% requiring surgery [1]. We report a case of laparoscopic removal of an ingested fish bone migration to the neck of pancreas. Case presentation A 67-year-old male patient was admitted to the gastroenterology department due to abdominal pain over 3 months He was hospitalized with a diagnosis of. Abdominal computed tomography (CT) was scheduled revealing a linear, hyperdense, foreign body along the stomach wall and pancreatic neck (Fig. 1a), and bone condition CT clearly shows the position and shape of the fish bone in the abdominal cavity (Fig. 1b). We made a final diagnosis of localized inflammation caused by a fish bone penetrating the posterior wall of the gastric antrum and migrating into the neck of the pancreas. CT reexamination had not found obvious abnormality 2 months after the surgery
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