Fish Bone Penetration Research Articles

Pseudoaneurysm of aortic arch caused by penetration of fish bone

Pseudoaneurysm of aortic arch caused by penetration of fish bone

Ruptured Hepatic Abscess Caused by Fish Bone Penetration of the Duodenal Wall: Report of a Case

The accidental ingestion of a foreign body into the gastrointestinal tract is not uncommon; however, the development of a hepatic abscess secondary to foreign body perforation is extremely rare. We report the case of a ruptured hepatic abscess caused by fish bone penetration of the duodenal bulb, resulting in generalized peritonitis. A 73-year-old man was admitted to our hospital with generalized abdominal pain and high fever. Computed tomography of the abdomen showed ascites and a heterogeneously enhanced mass with a less-dense center and a linear dense object. We diagnosed a ruptured hepatic abscess caused by a calcified foreign body, which was managed by peritoneal lavage, drainage of the hepatic abscess, and removal of the fish bone, followed by simple closure of the hepatoduodenal fistula. The patient's postoperative course was complicated by systemic inflammatory response syndrome, but he recovered eventually.

Computed Tomographic Demonstration of a Fish Bone in Abdominal Actinomycosis: Report of a Case

A 53-year-old man who had the habit of consuming fish bones was referred to our clinic because of a suspected malignant abdominal wall tumor. Computed tomography (CT) showed a mass (10 x 5 cm) in continuity with the transverse abdominal muscle, containing a small calcification. A laparotomy was performed with a preoperative diagnosis of an inflammatory mass due to fish bone penetration from the sigmoid colon. A fish bone, measuring 2.3 cm in length, was detected within the tumor by specimen radiography. The pathological findings demonstrated actinomycotic colonies. We herein present the first case of a CT demonstration showing a fish bone in an abdominal mass which was pathologically confirmed to be actinomycosis. Evidence of the presence of a foreign body is valuable for diagnosing inflammatory nodules such as actinomycosis and differentiation from malignancies.

魚骨による消化管穿通, 腹腔内膿瘍の1例

魚骨による消化管穿通, 腹腔内膿瘍の1例

Intramural Gastric AbscessCase History and Review

Intramural Gastric AbscessCase History and Review

Successful Treatment of a Hepatic Abscess that Formed Secondary to Fish Bone Penetration by Percutaneous Transhepatic Removal of the Foreign Body: Report of a Case

Successful Treatment of a Hepatic Abscess that Formed Secondary to Fish Bone Penetration by Percutaneous Transhepatic Removal of the Foreign Body: Report of a Case

FISHBONE PENETRATION OUT OF THE INTESTINAL TRACT

A case of an abscess in the root of the mesenterium and a case of a rectovesicular fistula, caused by fishbone penetration out of the intestinal tract, are reported. In addition, 121 previously reported cases of fishbone penetration out of the intestinal tract in Japan were reviewed. This condition has most commonly occurred in persons between 40 and 60 years old, and the male/female ratio is 3 to 1. In examining the length of the penetrating fishbone, rather small ones, ranging from 2.0 to 2.5cm showed the highest incidence. The clinical pictures as well as the produced lesions varied; therefore accurate preoperative diagnosis was difficult. Clinical courses such as those in the present cases have not been reported. Penetration appeared to occur anywhere in the gastrointestinal tract, preferably in the lower intestinal tract. It has long been believed that these penetrations were often at the site of physiological stricture or fixed intestine, which could not be confirmed in this review. The presence of a solid stool may be responsible for the frequent occurrence in the lower intestinal tract. For accurate pre-operative diagnosis of this disease, a careful barium X-ray examination is recommended.